What is Chronic Anal Fissure? | Dr. Chung's Treatment.
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- čas přidán 26. 06. 2022
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
Not suggesting surgery as a first option is a breath of fresh air. So there is Hope for me. Thanks Dr. Chung
After a consult, my medic said I should make surgery. He also presribed a non invasive treatment plan first. The fissure is chronic, I went to other medics who also diagnosed that also. Got it for a long time.
That plan worked so now I live with certain restraints (food with high fiber at every meal, lots of water, zero spicy condiments, less meat and if it happens, with a lot of vegetables and fibers and lot less to zero oils or high saturated greses) and some higher hygiene measures (basically bath after every p..p and daily warm water washes. I also try to sit down as less as possible and if I work on the computer, I take breaks after 50 minutes for walking and at home I have a stand up desk. Also creams prescribed by the medic.
If it gets worse after a while, I will take that surgery, I have a emergency fund ready for that case.
Great information Thank You.
@@romanvssvmromaniahow r u now
@@gyanaranjan3268 still keeping the non-invasive plan. When I eat wrong or I do not stick to this plan strictly, the pain reactivates.
Lots of baths and zero pepper or spices, zero garlic, little to zero processed foods.
So I am good for now.
@@douglasa.5039 hey did you heal it ?
sir you are the first sugeon who is not saying about surgery.... trust me its so relaxing to hear this..... Thank you so much for this positive video... ..
fear is in your mind…i had LIS, best decision ever…is not even a surgery, its 20 mins…can even be done at outpatient clinic, they just prefer general anesthesia though cuz patients just get terrified for no reason…just do the surgery, i swear u will see the truth i tell you
do surgery for chronic fissure .....it is only fear in your mind.
@@navneetpatel7484 never better…LIS saved my life, my psychology, my health, my time, my world…no side-effects, only smiles and healing…maintain a good diet as a precaution still…
@@navneetpatel7484 150% brother….farting loudly before surgery was not good…now noone can hear my stinky farts…its perfect dog lol
@@navneetpatel7484 what query dog?
Dr Chang You Got an Oscar from me&all who follow you. I wish you Health.
Thank you for enlightening me on sentinel piles! I thought it was a residual from hemorrhoids. I have had what I now know to be an anal fissure for 2.5 years now. After a year, I went to my PHP and after two years, I agreed to see a Gen surgeon. Both said everything looked “fine” externally, which left me amazed at what the average person must look like! I see you have a whole video focused on this issue so about to check it out now. Thanks again for this awesome content!
I’m so glad (not glad we’re in pain ) to see that I’m not alone on this and thankful to see others sharing their story this channel is the only place I can find comfort and peace knowing it will be okay and to stay strong and keep going with our strict routine to heal!! Sitz bath are my number one pain relief, along with triticum vulgare cream and relaxation /meditation. Or even Meloxicam for muscle stiffness which can help you relax
How long does it take to be perfectly good?
You’re the best proctologist!
Great informative video. Thanks for sharing your information I'll have to look for your other videos on how to heal them.
Doctor! You give me hope! Thank you so much!!!!
Thank you for these videos. I had this issue for almost two decades after childbirth and was always just brushed off when I brought it up with my doctors. No one ever even tried to address it. They just acted like it was nothing.
Your attitude and knowledge have helped me greatly in my journey.
I wish my doctors had your sense of humor ! 😄 I'm HOPING I won't need another surgery, so I'm going
to try your cream.
Your videos always brighten my day, Dr. Chung! The positive attitude that you display is also important in healing, for the patient and the doctor. Congratulations on developing a successful method for curing anal fissures! It's almost unheard of that a surgeon would find a way to avoid performing surgery. Just shows how much you care about your patients!
Thank you so much for saying so. I have met so many frustrated patients with fissures that it forced me to look outside the box. In the end, its the way I want to be treated.
Sir I have two fissures I have been suffering from 5 weeks but still I have pain my doctor suggest me surgery so what should I do
@@indubansal9398 mam how are you now?
@@indubansal9398how are you now madam
Thanks for being here for us, you are making a difference in all of our lives. One question I have, can I still use my treadmill everyday, i only use it to walk not run.
Another great video, Dr Chung.
Could you some day make a video on a topic most people are too embarrassed to ask: What is the proper way to poop, (in terms of posture, breathing and the right way to bear down)?
Hi doctor, I’m from India and dental surgeon myself, I never had major constipation issues but 6 weeks back that one poop changed my entire anal story, the pain was terrific and literally felt like pooping mini glass particles, so I visited gastroenterologist and he did the finger examination and figured out that I’ve haemorrhoids and fissure both, he suggested me fiber supplement, stool softener, anovate cream available in India which is combination of beclomethasone, phenylephrine and lidocaine and antibiotics for few days, and ofcourse asked me to do sitz bath 2 times a day ( I do 3 times), in my journey I’ve seen all your and other videos related to it, even surgery videos on CZcams, have read medical textbooks and even research papers related to it. Till 1.5 weeks from today I used to have pain while bowel movement, sometimes not able to poop enough or some days constant urge of pooping, I was literally exhausted and fed up of it and was begging to god why me? But what I did along with it is I restricted myself completely from refined flour, spices, oil and drank 4-6 liters of water everyday and 2km walk post dinner. Trust me the things are now working very well with me, at point I was thinking of undergoing surgery but now I’m able to poop within 5-10 mins with semi solid texture and with no pain, although slight discomfort is still there and I always apply cream there, and I’m very particular about what I’m doing and will continue to do it for next 2. Months at least, still I don’t know whether I’ll be able pass this thing but currently I’ve no pain while pooping and not later on as well, to all the affected people reading this comment I know what you’re going through but trust me you need that fighting spirit in you to defeat it and one thing I do while pooping is breathing exercise, I inhale deep breaths and exhale it, it helps to relax your constricted muscle down there and widens up your anal canal which allows your poop to get out without causing much friction. And just don’t care about whether it’s acute or chronic, surgery is last resort always, find measures to get rid of your constipation, do yoga if it helps you, soft poop is your best friend. And internal anal sphincter is your enemy. Thanks doctor chung your videos helped me in developing my mindset and allowed me to ask detailed questions to my gastroenterologist. Take care and I’ll win over it very soon
can i drive car or motorcycle when having anal fissure.
Please can you help me how to get soft stools, Iam having hard stools so that I need to exert so much pressure
Hi i am probably on the same stage
I have been suffering from this problem for 3 months now
I am recovering but i still feel pain while sitting on a chair or while driving a car
Videos on CZcams say cronic fissures do not heal with medicines
I m confused what should i do now
I m scared of surgery
Please help
@@nandhinipugazhenthy2292 hi I’m glad you got some motivation, the diet varies from person to person as we live in different places in India (I’m from Rajasthan), the diet I’ve followed which helped me is - I don’t eat maida (refined flour) at all, try to stay away from things which are cooked in oil like samosa, pakoda and all. Drink as much as water you can (I drink 4-5 liters) don’t over do it. Consume fruits, citrus ones as well if you don’t want to take vitamin c supplement. I even avoid white rice and I don’t like brown rice so I consume whole wheat chapattis and normal potato vegetable along with yogurt, dal, etc.
avoid having spicy food and still if you feel acidity than take pan-D every morning before consuming anything, I know it’s hot outside but still I would suggest you to drink warm or normal temperature water instead of cold one.
@@rachanasateesh9614 sure I can suggest you what worked for me and trust me I was facing same issues even after taking stool softeners and fiber supplement. As you’re Indian you can find out the exact product I’ll mention you here. Take one spoon full of Lactifiber (comes in orange flavour) every night in one whole glass of water post dinner and take 2 spoons of cremaffin plus syrup just before sleeping and drink a full glass of water afterwards. During the day do make sure to drink atleast 4-5 liters of normal temperature water and use the cream I’ve suggested in my main comment (although it’s for haemorrhoids mainly but it helps in preventing friction down there) I suggest you to apply before going for poop. Avoid maida (refined flour) and oil from your diet for the time being. And go for a walk post dinner. Following everything religiously will definitely work out for you because it’s working very well for me. Power and strength to you, you can fight this thing
Hi Dr Albert ☺️ after seeing my doctor and finding out I had a fissure, I had been struggling for a while and was in constant pain. After finding your videos, I learnt more about fissures, and you have certainly guided me learning more about fissures and have given such valuable information. Thank you very much 🙂
Best to you!
How are you now?
You are a good man!
Thank you Doc for taking the time to educate the world. I had three banding procedure then one now in hospital under anaesthetic as each time l died from pain as the bands were sitting on the nerve, this was now successful but l now have a heamatoma , there’s no winning in all of this 🙈
Thanks Dr great video.
@Yourfriendlyproctologist Is it common to have a colonoscopy and a rubber banding done at the same time? That would be great. Also, is it common to have a colonoscopy and upper endoscope done at the same time? Thanks so much.
Hello Doc, nice video. Where can I book an appointment?
Dr Chung it’s incredible you haven’t done the surgery for 5 years. I believe because in the UK I have not met a single CRS yet who has laid out all the factors at play when it comes to chronic fissure or recurring acute fissures.
To clarify has your method worked on 100% of patients? And if it were to fail would you suggest surgery in that case if the patient wanted it?
Thanks again for the videos. Keep them rolling please. I’m 16 months into anus pain. 2 GPs, 2 CRS and a pelvic physio and they still can’t solve the mystery.
Gastroenterologist is getting involved now to get their perspective too.
If I was in America I would come to see you. Thought about a virtual with you but I know ultimately I can’t get to you for an examination.
Same here ! In tbe uk as well. Had two surgeries for pain less than what I’m feeling right now. Been since October I cry everyday
The enthusiasm in the first seconds frightens me! This must mean this clip's issue must be REALLY bad :(
guys, i went through this a few months ago. i just wanna say i feel you and you got this
Sphincter tightness is still occured but pain is gone and getting better. Soften stool is the key for recovery.
Thanks for your helpful advice. I’m looking for a cream and I have seen something called Pranicura and the website then had a link to your on CZcams site
I live in the U.K. and have a chronic anal fissure and was going to have a operation but rather not
Does the pranicura
really help or is it something you are not aware of and someone is using your name?
Any advice to treat this condition as have had it bad got at least 6 months or more. Great videos so thank you
Hi Doctor I would like you to write down the link for the videos that you mentioned I just couldn’t find them 😅
Nice explanation Doc. How do you differentiate between Chronic fissure and a normal surgery wound ? I have undergone Haemorrhoidectomy and Lateral internal sphincterotomy 9 months ago, i still have a small wound which gets irritated during BM. Is it a chronic fissure or a scar made out of surgery ? My surgeon said it is a depression/pit made as a result of surgery and it will heal on it's own in few weeks/months.
how are you feeling now? @ramkumarj4531
Thanks doctor ❤
I have this problem for almost 5 years. Fed up with this. I think for permanent surgery, surgery is the best i have to face it..
Hi Dr, hope you are doind well Reference to your last vedio as you mentioned it been heal and re occurred so is it chronic? Becouse in my case i thought its completely heal for whole week and suddenly came back. Your answer is really appreciated thank you.
Thank you Doctor from INDIA
Hi sir, once in awhile I have very little currant like jello why is that? Thank you
Just dealt with this and the remedy is
1. eat fruits and pasta evryday
2. after using the stool take warm bath to soak the bum
3. after showering take triple antibiotics cream and massage on the wound and around the area. same thing with Vaseline.
4. try to use the still at least once a day ( i know it hurts but i was there too) even if you see blood.
5. continue the diet until stool is soft when coming out and the wound is healed
Thanks for this. Mine is not painful it just bleeds when I 💩 no matter if it’s diarrhea or soft stools or hard bleeds anyways. It’s so annoying I’m gay and I got the fissure for using big toys back there now I can’t even have sex for that reason, I’m tired of it I tried my Dr but surgery is too expensive and I can’t afford
Is your fissure completely healed now ?? Was it chronic ??
@@ManishK-fe6is I had a chronic fissure for 11 years. you want me to change your life? and teach you to never have a fissure or hemmroids ever?
@@christiantover6079how would u serving man 11years omg any tips
Hi Dr. You are the best. One question I want to ask you. I had a Fistulotomy a year ago and have been 99.9% good with avoiding constipation. But unfortunately, 6 weeks ago I didn't drink enough fluids 1 day and passed a tough/ straining stool and now have a anal fissure believed to be from the scar tissue from the fistulotomy. Im keeping my stools soft, but even a slight movement/ even walking for a few minutes seems to reopen it.
Nice video, very informative. I did the same thing. Pain went away for just about everything. Felt great. I race and ride road bikes alot and my first few rides i felt nothing. next few times out the duration in the saddle got longer and i felt my spot again. Your video on scar tissue made sense. Definitely stretch the anus in the saddle. How long would you recommend i not ride. How will know if fully healed. Assume a visit to my doctor? Really missing my bike.
Can you please dr. Make a vedios to explane the the difrences between the kind of fissur surgeries.becase there is many ways to to the surgery.
I am a young person, only 16, I used to have such a bad diet because I never really cared about my health since I was in depression. But literally , if I could turn back time I would go back to the day I didn't poop for 2 days and when I did, I cut myself. That cut hasn't healed for 4-5 months. Sometimes it just goes away or doesn't feel like anything but yesterday, I travelled for 15 hours and didn't drink enough water because the bathroom wasn't guaranteed. And here I am, had a very hard poop, reopened my almost healed anal fissure and am in pain. There wasn't any blood but yeah... I really hope I can pass this living hell. I envy everyone who is able to go and poop like it's nothing. While I have to think and reassure myself several times while pooping that I'll be okay.
Bro i also have same problem and i am 16 years old.... By the way how are you now?
Very needed video
@@rehanshaikh56902 Healed. I'm all healed
@@SiriusNoxiumHow did you heal?
@@Guto65OficialWell fyck me, I'm back here. Idk how I healed, I went on a trip and when I came back, I was completely healed. In December I got Hepatitis and Typhoid so I ended up having new fissures and...I'm suffering till today again...sigh.
Do you do or can you do the cauterization of fissure? There is a doctor in NY that does it, but I haven't found one in so cal that does it...
You are a great doctor.
Found out i have one. It SUUUCKS! And my anxiety disorder is not helping either, although now that ik about this stuff im calmer about it. For me it just itches constantly amd it's mildly uncomfortable but sometimes its bad. It also like, has a sharp but slight pain (right now actually too). Went to bathroom today, wiped, blood. Just blood, not TOO much, but a significant amount. I checked later, no blood. So that basically told me, yeah it's a fissure. The thing i hate about it is, it feels like its forever tbh. Like its hard to wait for it to get better. Definitely seeing doctor soon. These vids help though in the meantime!
I watched the vid about why the come back and man I feel like the patient described. Was doing good for weeks with 0 issues and then all this stuff suddenly started :(
Thanks!!!
xoxo The Clarences
how can a protologist see inside without a scope? Assuming you have a fissure and the scope would bother and be painful?
Can using nifedipine after a Lis increase your risk of incontinence? I’ve had a couple of flare ups since mine I’ve used it for but don’t want to risk that.
I have been using it for a few months. Have not had any incontinence issues.
How does one determine if it's a superficial fissure (ie/ skin issues etc) or deeper?
OK I've just ordered this stuff. I've had my fissures for 6 years 😅. I'll let you know how it goes
It took me 7 years to heal my fissure. My first doctor took 2 years to diagnose it!!! The specialist gave me creams for a year with no change. The next one told me about diet and stool softners. Then, I learned about combining lactulose, stool softners, and diet. I can't believe that it took so long, but I'm alive!!! Each doctor reassured me that the treatment would work, but everyone is different. As long as I don't chow down on tons of steaks and burgers in a single day or two, I'm good!
Can u talk more about how u healed in more detail it would really help me out ??
@StaydwnnM Sure! I didn't go to the gym, so if you're a gym goer, then perhaps change it up to simple walks. The strain of running, ab workouts, and squats will make the fissure worse. If you sit or squat for simple reasons while at work or home, do so slowly. Whenever possible, try not to squat and instead get on your knees. I found this really helpful. If you have toddler aged kids who want to be held, sit on the sofa and allow them to come to you. Picking things/toddlers up can be detrimental to the fissure. Overall, just be careful with your day-to-day life.
I had a deep fissure, so creams didn't help at all! For pain relief, it all had to do with my diet. I LOVE Hamburgers, so I felt as though I needed this fix. Instead of getting a regular sized burger, though, I got a kids meal. The only thing that I would up-size was the drink. I tore off as much of the excess buns as I could as bread can be constipating. I stayed away from nuts and seeds like flax seeds, pecans, and sesame. Seeds are too fine that they can make a fissure worse since they don't digest well. Nuts are similar in their digestion. However, you can eat peanut butter to get your fix. You should also stay away from fruits that have seeds, like strawberries. Any bread that I ate was whole wheat when possible as this has fiber.
My heavy meals were replaced by periodic snacking. I'm a female, and my "ideal" weight should be between 111-125, according to my doctors. At the time the fissure began, I was 160. Reducing my weight also reduced the pressure on the fissure. Changing my eating habits helped me to lose weight, so it was a win-win.
Drink tons of water as this helps you to feel full and ultimately will reduce your need to want to eat more. Eat fiber, but be careful as tons of fiber at first can actually constipated you. Gradually introduce it into your diet. Foods that I would recommend that have fiber are whole wheat bread (without nuts), apples, spinach, pinto beans, green beans, etc. Red meat, I moderation, is fine. However, poultry and fish are easier to digest and pass. Consider introducing these into your diet.
Medication wise, my doctor gave me Lactulose (AKA Contulose/Kristalose) at 30 MG, twice a day. I was also told to take stool softners in the morning to help. If the pain was unbearable, I took 600 MG of ibreupophen as soon as I woke up since the lactulose regulated my bathroom schedule, and I would go every morning. Be careful, though, as too much can be harmful.
The worst part for all of us, is going! The healing took time, so don't expect it to work right away, but hang in there! If the pain is too unbearable while passing stool, use a hand towel to grip your teeth.
I'm typing this after driving 7 1/2 hours, so I'm not sure if I covered everything. However if you have further questions, please let me know. This is an extremely painful illness, so we should help whenever possible.
One more thing, sitz baths didn't work for me since the fissure was high up. Depending on its location though, it may be helpful.
@@vcwloves9864 thank you soo much ima take into consideration everything u recommend this pain is really no laughing matter I jus want to be normal again
@@vcwloves9864sir I am currently struggling with it can you kindly help me ?
@@vcwloves9864how much time it took for you to recover since u start properly treatment
I've had this going on for 2-3 years... I just want it to end...
Dr chung can we eat watermelon 🍉, almond milk, lentils after polypectomy/ colonoscopy?
Thank you
Hello doctor, thanks for excellent service you are offering through your channel.
one question though. if one is allergic to diltiazem cream what is the next course of treatment. surgery?
Try Rectogesic cream. It works for me! And take Mirax everyday!
Hello Dr
After the chronic fissure healed ... it means leaving the patient with the scar and sentinel skin tag and posible abcess risk ? Thank you
For me i was given deltiazen or something like that, it didn't work and was recommended the surgery. Just got it today, i hate it and wish i knew about u before. It hurts a lot , i hope this works. I was told by my dr NOT to take a bath, just use the sitz bath bowl. Is that right?
As much as I appreciate his videos and education, I recommend seeing a Proctologist in person rather than spending $250 for a video consultation. Dr. Chung after seeing a photo taken of my issue recommended a Hemorrhoidectomy via video conference rather than any conservative treatment. That it would not help me...said I had grade 4 from the photo taken after I went to the restroom which I told him. I ended up seeing another proctologist, received Sclerotherapy and am in no more pain and my internal hem does not prolapse after going to the bathroom. Dr. Chung, I recommend you see a patient in person and truly look at other options that may work or give someone needed relief. If I can get needed relief for 6 to 12 months from sclerotherapy, and not have to go through HELL from a hemorrhoidectomy, I choose Sclerotherapy, IMO.
I'm glad you were able to get relief!
I think you nailed the core issue on the head. A video consultation will NEVER replace an in person consultation. I can only go on information you provide. I do the best I can to give you as much helpful information as possible.
When I see grade 4 internal hemorrhoids, the best treatment to relieve symptoms of prolapse is a hemorrhoid surgery. But it still requires an examination in my office to verify.
Another thing to be aware of. Always get second opinions. You may be offered options which may not work or may NOT have good long term results.
Thanks for pointing out the importance of being seen in-person with a specialist. I'm glad you're doing better!
Does you heal without having surgery?
Never had fissure until Doc slipped on last 3rd Grade 2 banding (1&2 were great), she kept trying and trying and the instant she got it on I screamed, felt a pulling from the outside in. She put some more numbing on and it got me home. 4 months later she prescribed Nitroglycerin, which makes me super dizzy when I use. A year later and it's like I'm going to pass out in pain regardless how soft the stool is. Now have a ridge of super tight skin interrupting what use to be a circular controlled opening, not this super tiny swollen dreadful that I'm left with. The tiny exterior hemorrhoids are double what they were before the procedure and wish I had never had the banding. My recommendation is space wider the banding procedure then what they tell you. If it's working well after 1 or even 2 stop there. What I wouldn't give to go back to those little unsightly exterior bumps :( Hoping Dr. Chung brings me some relief with a more thorough approach.
I.just started this and I'm hoping for help. I've been in constant and daily excruciating pain for 5 MONTHS. I'm so so tired of the pain. I've been suicidal because I felt I could not do this any longer. I've been to 8 doctors and no one is helping me.
hi sir, i have gone through Hemorrhoidectomy, it's been 40 days and i have skin tag down there and still i feel pain while pooping and i see a red straight line of blood on my poop, sir i have medicals for military in 1st week of august please help me sir otherwise i would be rejected
Wud vaseline be good to apply around the sentinel pile?
Shall we use cremaffin daily? Please clarify
Hey doc. Im in this pain now. I don't know, what can do.?
I've had a fissure for three months. The severe pain is mostly gone, but the buring and itching (mostly burning) still remains, some days more than others. I've been through one jar of prantacura, and one jar of gotucream. My next step is going to the doctor which was always my last resort. Thanks for your videos and hope to hear from you or some other subscribers. Can I use vaseline when my bum is burning and itching so bad?
My doctor says she can’t see anything but see says might be anal fissure or hemmoroids and gave me creams and Botox and surgery for anal fissure (sphincterotomy) and it’s been 6 months and I feel absolutely no difference and still in so much discomfort everyday and my doctor said she took little hemorrhoid out but still no change…. Now she send me to dermatologist but can anyone give me advice as to what to do to fix my discomfort for good
Are the pain meds necessary for healing? Or just for pain relief?
You're speaking so much sense , I have chronic anal fissure, it's been a year and a month, the pain I experience when excreting,I even bleed😩
Are u ok now ? Still u untreated
I have almost 5 years suffering 😪 I am worried because i am single guy and i have to marry... But thid fucking thing literary disturbing my life
eat cooked carrots big size 2 a day, it will help improve your fibre content and relieve the pain. also apply boroline inside the anus after poop to cure the injuty@@shourovconsult3492
@@shourovconsult3492how r u now?
Any of you guys heal ?
Can a person have an internal hemorrhoid that mimics the pain of a fissure (making it seem like there is a fissure)?
Is slippery elm and marshmallow root helpful ?
Hi Dr Albert, I had to go to emergency care because It was very painful and I did not know what can be done. where are you located and how can we reach out to you?
I'm located in Orange County, CA. My contact info is in the description box as well as my address.
So what are those methods?
i have had mine for 12 yrs..super fun..!
Such a bummer....
Me : 22 years and still bleeding.
Relaxation while poop is the best medecine.
Hi Dr. Thanks for your video . May I ask : can lactulose be taken daily for long term use for soft stool for prevention of anal fissures ? Any side effect of it ? Your advice is much appreciated. Tks .
@deepanshu4509 I am still taking lactulose daily to help the bowel movement to reduce strain .
How much Colace is safe to take a day and for how long? The doctor I have gone to says I have a cronic fissure and gave me 6 wks to get it under control or he wants to talk about surgery. He instructed me to take 2 Colace a day and he wanted my poop like liquid. Before I went to him I was taking fiber twice a day and it was making my poop large but soft but nothing was healing it still hurt to pass. I since was told to stop the fiber and up the Colace to 3 times per day and everything is soft and no more blood for about two weeks now. I just don't want my body to become dependent upon the Colace...
Take stool softeners and avoid the bleeding
How can I make an appointment with you
I want a doctor like you and i wanted to take treatment from you. But unfortunately iam not able to .
You are awesome
Question once you have a chronic fissure and heal, will future flares always be chronic and worse than prior ones? Thank you Dr
Not necessarily.
Dr. Chung, I want to ask you a question. If only 1 small polyp of 0.4 cm is found during the Colonoscopy of a 50-year old woman with no family history of bowel cancer; do you recommend getting it removed?
I recommend going on a fruit diet
Can you check bottom area to verify the issue, if yes how
Dr chu how can i purchase your product...iam from Arunachal Pradesh... India
I get a little red blood on tissue paper from time to time in tissue paper. No pain. Should I get a colonoscopy?
Hello Dr. Chung, I really enjoy your videos and have seen many and commented a couple of times as well. I am into about my 8th week of fighting this anal fissure that has been the worse thing of my entire life so far, I wouldn't wish this on anyone. I just wanted to make a couple of quick comments. I do deep breathing while pooping. I learned that from another lady in another video and yes it really helps ... sometimes the poop would slip out while breathing and those are my favorite times because I didn't have to push really. I get a little dizzy from all the deep breaths sometimes but it's all worth it. Another thing is I saw an animated video of a sought of laser surgery sealing the fissure and that seemed interesting but I can't find more on that, is that something you can talk about or would recommend instead of LIS or the Botox injections ? I use to have a lot of spasms but I think they are slowing down, so that's great but sometimes I walk around with the feeling like I have a tree branch stuck in my butt or like I was raped with that branch and I can just feel the raw after affects ( I don't know how else to explain the feeling except with that example, sorry ). There are days or shall I say long moments ( not days at all, just moments throughout a day) where I feel almost completely normal .... I think, is it gone? but I know it's not as I am reminded when poop time comes around again. I hope to be better soon. I am on a Dr prescribed Benefiber & prescribed ointment method now ... and I also just ordered Pranicura 5 (coming in a few days, thanks about that). Thanks again for any helpful information you can provide Dr.
Have you completely cured now ?
It’s great to advocate conservative management. But I think sometimes people do need surgery. I had severe pain for months. I was doing all the right things - fibre, plenty of fluid, sits baths, ointments, low stress. I had ten hours of severe pain per day after using the bathroom. I’m normally not one to complain about pain either but I could barely stand, sit or drive. I had to take two months off work because the pain was so bad and I basically needed to be home to manage the condition. I had a lateral internal sphincterotomy 3 weeks ago and it’s just been a dream. I’m more or less symptom free now, back at work and enjoying life. After the surgery the surgeon spoke to me and said he could see what I was complaining about. He said I had two fissures right next to each other. I don’t think everyone needs surgery but some people do.
Very thoughtful comment! Thanks for sharing this!!
How was the recovery? I have heard horror stories about the recovery from that and the botox treatment.
Had it done in 1987, comes back if not very careful
Can I use coconut oil to lubricarte anus prior to applying nifedipine? Or vice versa? Or just the nifedipine?
If fissure is healed and skin tags are there. Is there sny problem?
I hope you can answer this for me, because google isn't helping. Should I find a proctologist INSTEAD of the colo-rectal surgeon I used to see? I can self-refer with my insurance, and would prefer a doctor who specilalizes in fissures/ fistulas. Thank you.
Colorectal surgeons is the modern word for proctologist. We are the same surgeon. Yes, I highly recommend you see us.
Doctor, can anal fissures be caused by hypertonic pelvic floor dysfunction?
Hi Dr were you located in us.??!!
Do you recommend psyllium
Rye Bread has been my life saver. Stopped all my issues.
could you please explain
@salinger007 I just added fresh Bavarian Ryebread to my diet. I was dealing with this for at least a decade, and it did the trick. I tried doing so many things. I really do think a lot of this issue has to do with diet. I think it has something to do with the microbes in my gut. Ryebread is known to be good for digestion. I’m sure everybody has a different reason for their situation, but it’s worth a try! Also tastes great:)
Thanks! Good info..
@@salinger007 No problem! I get from the bakery. No preservatives.👍
hello!! there Dr chung i just wanna give thank you for your wonderful videos espcially anal fissure topics i just wanna ask a question about repeatdly having anal fissure in different position of my anal last month in my left side and now on my right side i’m a little bit concern
My surgeon says to give it more time to heal, but I don't know if it will. Im praying to God and trusting in Him that it will heal and I don't have to have another surgery (LIS, etc). Any suggestions? Thank you.
How is ur situation now?
hello doctor... I have a chronic anal fissure for 10 years.. it comes and goes after some time. normally after a hard stool. can chronic anal fissure turn to cancer if it is not treated? mine is chronic and has indurating edges.
i dont want LIS surgery... but i am scared if there is constant irritation maybe i may get cancer.
While you seem to have it all figured out I am over here dealing with 20 years of this and it has ruined soooo many aspects of my life!!! Healing seems hopeless!!!
Get the surgery do not listen to ALL doctor . If you live close to Mexico just do it there I did it too and I’m a bit better now ( symptoms can come back if you don’t take care of your body and diet)
Dr. Chung
Càn Chronic lidney disease stage 4 cause problems with anal itching . I jave terrible pain die to diaherea and my stool seems to burn me. Byoening i can get it under control...but as soon as i have aovement the pain burning and itching atarts all over. Could it be toxins being release from the body thru the anus
Sir
Can you please make a video on the messures to cure cronic anal fissures without surgery as every video on CZcams say cronic fissures only need surgery
I Hope so
hi I actually dont know but I think I have an anal fissure cause it hurts so bad to do my buissness and im a really shy person and have been experiencing pain for almost 3days now. can I just ask does it come with a fever cause I got fever after I got it. I dont mind the fever cause its way to barerable than when I do my buissness😭
How are you now?
Hi! My husband has painful chronic anal fissure. How may we seek your treatment? We are in Spore.
Sir i have trombosed hemmoroids circumferental im in faktu ointment as of now can i ask how long may it take to my rectum to return to its original form...i feel so much discomfort and pain pleasw help thank you
Great Doctor Chang. Please how I can contact you by email or Whats app to get an advice from you. Thanks a lot.
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Can you talk about anoplasty. What is success rate of it.
Hi sir I have an anal fissure now. I had one a few years ago. Unfortunately complications are i have a spinal cord injury and i use intermittent catheters. But also digital evacuation with a plastic glove and gel thos exacerbate the fissure so it bleeds but I HAVE to pass a stool? Obviously I have flaccid bowel neurogenic so I can't pass stools like others. What do I do please
If you have anal fissure and you smoke cigarettes on daily basis, stop this bad habit immediately. This has helped me so far and GTN ointment.