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April 2015 Moms
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TMI WARNING - Issues with healing in the rear

Pix3llePix3lle member
edited August 2015 in April 2015 Moms
Again i apologise for the TMI! But none of my friends have had this problem so i have no one to ask.

I had a vaginal birth, my little one was born April 16 and every time i have a bowel movement it STILL hurts and bleeds.

At 6 weeks pp my doctor said it's an anal fissure and recommended creams( which haven't worked yet), upon seeing another doctor last week (mine was sick) they said to just keep doing the cream 3 times a day and hope it heals.
As you can imagine I'm a little frustrated at the pain so i was wondering if anyone has had any success healing this and what with?

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Re: TMI WARNING - Issues with healing in the rear

  • borgie05borgie05 member
    My son was born same day as your little one... Pushed for an exhausting 5 hours with no progress (had to finally use a vacuum to get him out) and needless to say I definitely had a ton of hemorrhoids after that (after avoiding them my entire pregnancy). It's a little but different than what you are experiencing with an anal fissure, but I still have pain and bleeding every once in a while too. Looks like the at home recommendations to treat it are pretty much the same:

    There are several steps you can take to relieve your symptoms and help the fissure heal:

    • Try to prevent constipation. For example:
      • Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fiber.
      • Drink plenty of fluids.
      • Get some exercise every day.
      • Take a fiber supplement, such as Citrucel or Metamucil, every day if needed. Read and follow all instructions on the label.
      • Schedule time each day for a bowel movement. Take your time. Don't strain.
    • Try taking stool softeners or laxatives to make bowel movements less painful. Ask your doctor how long you should take laxatives.
    • Sit in a tub filled with a few inches of warm water for 20 minutes, 2 or 3 times a day. This is called a sitz bath. It soothes the torn tissue and helps relax the internal anal sphincter.
    • Talk with your doctor about whether to try a nonprescription cream such as zinc oxide, Preparation H, Anusol, or 1% hydrocortisone for a short time. These may help soothe anal tissues. But fiber and sitz baths help symptoms more.1
    • Instead of using toilet paper, use baby wipes or medicated pads, such as Tucks pads or Preparation H wipes, to clean after a bowel movement.
     
    Is the cream that you are using prescription? From what I am reading if it doesn't heal after the "home treatment" after 12 weeks, you may want to request a prescription; may include nitroglycerin cream, high blood pressure medicines in pill or gel form, or injections of botulinum toxin (Botox).
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  • Pix3llePix3lle member
    Thank you for your reply!
    She prescribed me a cream but it's also available over the counter normally. I've tried rectogesic and rectonol thusfar.
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  • shrkfanshrkfan member
    A coworker of my friend had this same issue and got a 2nd opinion after suffering a few months and there was something with the way she was stitched up. She had to go back and get restitched. Not sure if you had stitches that far or if it could be the same but it might be worth getting a 2nd opinion

    Good luck!!
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  • aekuiperaekuiper member
    Adding broccoli (and a lot of it) will help. Odd suggestion I know, but I learned that from my SIL and used it after I gave birth and it helped tremendously with the consistency and regularity of voiding, plus it helped make the stool softer. And if you didn't use Witch Hazel when you gave birth, then do yourself a HUGE favor and go get some now, douse a maxi pad with it, or a cotton ball, and sit on it. You will feel WORLDS better.
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  • Pix3llePix3lle member
    Never heard of those before! I quite enjoy broccoli so i may have to stock  up on it especially.
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  • Pix3llePix3lle member
    UPDATE (ALSO TMI):
    Dr gave me a referral to a specialist in the hospital saying that if it doesn't heal by the time i get an appointment then  i'll likely need them to try to fix it with something called a 'stretch' (sounds unpleasant but if it works it works).

    In the meantime i'll keep trying these suggestions (thank you) hoping it goes away before i need that! The waiting list for anything non essential tends to be anywhere between 6 months to 4 years depending on the unit.
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  • shrkfanshrkfan member
    Ummm 6 months to 4 years?! How can they do that to people? Wow hope you don't need to go that route
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