Chronic Anal Fissure: Dr Chung's Cure

[@yourfriendlyproctologist]

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[@anniaguraijuja3111]

Hello dr. Chung! I wanted to ask about chronic fissures that have developed a scar tissue builds up at the edges and apex of the fissure- is there actually still a good chance to heal this with conservative methods? I read that when it's a case like this then there is less likelihood of successful conservative attempts at healing and the more likely surgical intervention becomes... What's your opinion about that? You haven't spoken about that in any of your videos if I'm not mistaken:)

[@Nononsense1952]

3:13

[@AllyanMasih4580]

Doctor please help me I am chronic anal fissres patient online appointment

[@mithilsequeira2467]

Can you please suggest how to address comet poop

[@davormirkovic2208]

The code is not working 😢

[@ampman3228]

My rear end had previously been invincible but in my mid 40’s I had fissures most of last year, with spasm which pushed me over the top…along with probably hemorrhoids causing more pain. I couldn’t stand to drive, had lots of blood in stools, spasms that lasted most of the morning, trouble sleeping with the pain. I broke down and went to a specialist. She caused me a ton of pain looking around, said I had a tag. Just recommended more fiber, prescribed a nifedipine/ lidocaine ointment and wanted to schedule a colonoscopy. I just wanted to say thank you for your KZbin videos. They provided support and information that I wasn’t able to get any other way. I was wondering what was going on down there! It took a long time to heal but I have been pain, spasm and blood free for about 8 months now. I just take a half dose of miralax every evening and now have a potty routine. Anyway without your videos and help I would have been lost and probably still in pain. I think they would have recommended surgery. Thank you so very much! I also wanted to say to those suffering with no end in sight that things can and will get better.

[@johndoe-eg7le]

try cutting out gluten in your diet for a few weeks and see if you get by without taking miralax. Gluten was causing me issues with hemorrhoids.

[@commentreadersassociation7227]

Diet also play an important role. In India Doctor recommend patient to eat plain rice instead of Bread 🍞. And also mild morning walk for at least 30 min maximum, no running or heavy excercise or sports. That way you will have soft 💩 without suppliment.

[@yourfriendlyproctologist]

Incredible story! So glad the videos helped you!

[@amymartin5753]

Schedule a colonoscopy with fissures present? The CLEAN OUT procedure would send you into immense pain and burning- pure agony!

[@janetharrison8670]

Thanks for that advice.

[@leslie6569]

I can’t thank you enough for the existence of this channel. Because of it, I found a pelvic floor physical therapist to help me with my chronic fissure that I’d had for months, and after only a few visits (plus a lot of “homework” in between), the anal spasms have stopped, I am having no more pain, hardly any blood, and the fissure is actually getting smaller! I made dietary changes too, and other changes you recommended on your channel, but if you hadn’t recommended physical therapy, I would have just been referred for an LIS by my PCP. This advice was life-changing! Thank you so much 🙏

[@himanimanwal2850]

@leslie6569 How are you now can you please recommend physical therapies ?

[@dhanushkumar.r1175]

Yes we need suggest some yt videos as yours

[@lorih3666]

Thank you for this short yet comprehensive overview. You can't leave these issues to most doctors, first, because they can take months to book, and second, you get as little as 10 minutes of their time. And like many other comments here, they tell you to drink more water/add more fiber (duh), give you yet another list of what not to eat (leading to a more and more restrictive diet), and tell you to reduce your stress (the stress they have just added to). I have been dealing with hemorrhoid's, IBS, anal fissures, and rectal pains since childbirth, which have only got worse with age. I've done nearly 'all the things' but keep discovering more. Diet, pelvic floor therapy, squatty potty, sits bath, laser treatment, and most recently Botox. I'm hoping with all of the above I'll be able to heal the fissures. Though with ongoing pelvic floor issues (including a rectocele and likely other external and internal damage) this may be ongoing treatment and I ultimately may need surgery. Whatever I can do to eliminate or minimize the need for surgery, the better. Folks who don't have these issues don't realize how painful and debilitating it can be. Good luck and good poops to all!

[@dipankarnama4142]

But by Dr already done my surgery almost 2years ago still i am suffering from anal fissure 😢

[@BethMurphyLife]

Dr Chung FEEDBACK on video creations. Long time watcher and multiple pranicura purchaser. 2 years ago…your musical ❤❤❤ intro was so beautiful. It set up an unconscious knowing that comfort was next coming in the form of YOU and you alone. Your voice…when we are scared or in pain, we hang on every word. Your “editor” is “ok” but I MUCH prefer just YOU alone being you. I deeply appreciate your delivery as it was, the other stuff might be amusing but YOU are amusing already. Nothing else is needed and takes away from the comfort you have given in past videos before the new editing. 🎉 Best to you.

[@Prokaryotes642]

You’re the best health care provider on KZbin!

[@lamisragab637]

I realized that controlling my ibs actually helped my healing journey, I still have it but no pain as no hard stood or hard bowl movement any more 😊 thanks to you who gave me hope to stick to my medication and taking care of myself properly

[@mandysparks5311]

I have IBS too and I am miserable. How did you learn to control it?

[@Rgrrohit]

My soft muddy poo due to IBS makes the fissures worse. At this moment Just don’t know what works and what doesn’t for my gut.

[@marko0marko0marko01]

I got ibs and constipation, can you please tell me how you managed to control it?

[@James-l4v4i]

I believe that soft, more consistent stools are the answer to most butt problems. The problem is getting that. Until I started keeping a written record of what I was taking and when I was taking it I just rocked back and forth between hard rocks and lava flow. Now I can adjust the things I'm taking to get more control of what comes out. It's not perfect by a long shot, but it's a lot better. I can live with it.

[@gopzz908]

Please share what helped to get soft

[@laveeshsharma4517]

@@gopzz908 Drink a LOT of water. Fibre rich food helps a lot like fruits and vegetables . Avoid fibre deficient foods. Some specific fruits work like charm in softening stools. But at last you will have to learn by trial and error, keep track record everyday and see what type of stool you had next day, then try to guess what might have caused this. Then increasing/decreasing amount of that.

[@Koubiak]

I love this channel. Been struggling with an anal fissure on and off for 6 years (finally getting Botox tomorrow!) and I like that you take no detour and explain things carefully. thank you for all you do.

[@Amy-i8d]

@@Koubiak that's good, I had Botox in mine and it healed it, praying it does the job for you 🙏 it's very effective in paralyzing the muscles up there to allow blood flow and it heal up. Just be prepared for faecal incontinence/leakage for a while. Wear pads and bath 4 times daily

[@Koubiak]

@@Amy-i8d right now I’m having the reverse issue - no bowel movement since Sunday (it’s been 5 days).

[@Amy-i8d]

@@Koubiak I think you should contact your physician asap. Maybe they will give you a micro enema. Are you drinking lots of water? Prunes, fruit n veg? And walking x

[@amymartin5753]

I’m having Botox Tuesday.

[@19nolo80]

@@amymartin5753hi, did your Botox work?

[@oceanchicns]

thank you thank you thank you. I'm in my fifties and sitting on a sore bum as I type this. Chronic fissure for about 10 years now. This one hurts the most. I feel I know how to handle this now. Thanks so much for your entertaining educational videos.

[@sethslytherin]

Brother. You're too happy in the intro for an extremely painful situation. 😊

[@naseemakhan4098]

This is the first time I've had the best advice ever.U are amazing.

[@pharhunt2989]

After do 1x operation to remove hemorrhoid, anal fissure, skin tag & polyp on Nov last year, thank God I free from pain now.

[@likhitha6038]

Hi how is ur fissure now and surgery name can u mention pls

[@Leic0199]

I'm feeling a small lump inside anus it doesn't hurt or bleed.. I don't know what is it

[@likhitha6038]

@@pharhunt2989 hi how is ur fissrue now

[@thangpongplam9556]

Fistula​@@Leic0199

[@ngurafanai998]

​@@Leic0199 bro if it's a lump you better get it checked up fast

[@sadiakhan469]

Dr Chung you are doing a great job by educating us . My story dates back to the day I got an anal fissure which was wrongly diagnosed as a fistula.by a radiologist after an MRI scan .I underwent a fistula lay open surgery but my pain persisted for 3 long years .A proctologist during a visit tried doing banding of my haemorrhoids by giving me profuse pain . So I was in worst situation so much so that I didn’t eat much and in return pooped very little and in a matter of 5 to 6 days I became pain free. My family thought I was suffering from a mental illness and never believed me. I must tell you that soft stools and regular bowel habits is the only remedy to get rid of a chronic anal fissure .

[@dipankarnama4142]

My fissure is 2yaers old also my operation also done 2yaers ago almost... i am still suffering can you please help me

[@aneelaulfat4833]

Thank Almighty I found you after diagnosing chronic annal fissure

[@AllyanMasih4580]

Hello sister please help me I am anal fissres patient

[@tanyasydney2235]

The best fiber is from whole fruits...soft and gentle on the colon.

[@mountainman.4478]

Hi, great video. Like a lot of people, I was desperate to find someone who worked better than preparation H. And I did with trial and error! I used something most people have in their home. I used neospororin antibiotic cream. Within hours, I felt healing. It actually shrank them. Im just saying try it. It's not toxic to your body and works. I hope this helped someone.

[@SuzanMiller-ou5kq]

I use lidocaine for the pain. Tonight I can’t stop bleeding and it’s a lot of blood. Im very worried and listening to Dr. Chung is calming me down. I figure if it’s my time to go home, I’d rather do that than go through this pain another day.

[@idkwhattonamemychannel4291]

Hi I know it’s so painful right now but please don’t give up. We will get through this and one day we won’t have any pain any more. I don’t usually scroll this much in the comments but I did and I found yours from 5 minutes ago so maybe it’s a sign but please don’t give up ❤️

[@tss8929]

My fissure healed by taking psyllium husk and movicol everyday before sleep. Sitz bath and Pranicura helped a lot.

[@FordCVS]

Im taking those 2 but one year later is not going, slow progress its way less painful than what i felt when was new cut a year ago and i can let go the softners for day or two without problem but it always return im starting to think of surgery

[@tss8929]

@@FordCVS kzbin.info/www/bejne/h3XOamaZq790q80si=KVsQkC7arb6Wbfwu

[@tss8929]

My surgeon told me that if I was a male, he would suggest surgery as male muscles recovers faster than female. For me he just performed a small procedure only to remove a small lump. Since then my focus is to keep the stool soft bcz my surgeon said this problem needs lifelong care and keeps the stool soft. Also I follow a good technique while bowel movement without putting pressure at the bottom end.

[@janetharrison8670]

Are these prescriptions?

[@randymaged804]

The pranicura is a miracle! Thank you Dr. Chung!

[@rottenL]

Is it healing your fissure? How long did it take? Glad to hear it’s helping!

[@ferencferenc6849]

Pranicura doesnt help at all...​@@rottenL

[@marcogonzalez8701]

Did it actually heal it ???

[@randymaged804]

I didn’t have a fissure. But the hemorrhoids are 90% better!

[@marcogonzalez8701]

@@randymaged804 will it work for a fissure to ?

[@krunoslavcosic55]

Great topic, so informative!

[@janetharrison8670]

You have helped me so much and i wish i could come to you for removable of my thrombosed hemrroid , but im still working on getting better naturally with the sitz bath daily . Thank you.

[@danielmasekela7091]

Also dealing with thrombosed

[@akashbagade6250]

are you getting better?

[@janetharrison8670]

Are u going to have surgery?​@@danielmasekela7091

[@janetharrison8670]

​@@akashbagade6250no I'm not getting better, I'm just learning to live with it, but I have a surgery scheduled for January I'm afraid though.

[@iraqitarot5277]

Thnx really for this amazing video

[@ccxmeow]

Oatmeal and pears and plums and lentils have been so helpful for me. As well as a powder magnesium supplement (actually softens stool and most people are deficient). My Dr also prescribed me a cream that helps healing. And mild cardio during the week. Pain free and no blood for a while now. I think I’m healing! ❤️‍🩹

[@georgeborowski]

Another great video!

[@BigJohnson1566]

Good Intel much appreciated.

[@yourfriendlyproctologist]

You bet.

[@Amy-i8d]

Can't stress enough the importance of using gtn ointment or diltiazem cream correctly and regularly throughout the day. You might not want to apply it up there at first because it's painful but it DOES reduce the pain and heal the area. Have a warm bath before applying 🙏

[@gunjanvyas9065]

How long does it take to heal after the diltiazem cream

[@Irisseesall]

So what doc is saying is that he aerates the infected fissure surgery site do when it heals - it heals and closes -clean as possible* the tissue is soft and moist so it’s a complicated process. WHAT A FANTASTIC SURGEON!

[@Aminakhan-z1m]

I am not alone in this world with this pain and suffering 😢

[@kudasams7200]

Ai thot I was alone too

[@irisnunez5741]

😢

[@khalidalqoraish4181]

Thanks doctor for usual helpful vedios.

[@jojoreyes7048]

Hi Doc. how are you, very good explanation.

[@SuzanMiller-ou5kq]

I’m thinking a fast would help heal too

[@rgawt1870]

I started hurting at the beginning of this year by February, I scheduled an appointment with a gastroenterologist. Later that month, I had a colonoscopy, mainly because I was bleeding and some discomfort. After the procedure, my doctor said no cancer and he wanted to see me in ten years. In April, I went to see the doctor again. The bleeding was getting worse, and he recommended fiber and referred me to a surgeon. Anyhow, I just saw the surgeon/proctologist like a week ago. The whole consultation lasted about 5 minutes, and he recommended lots of fiber, and he wants to see me again in six weeks. It was a three hour drive to go see the doctor, and he spent around 5 minutes on me. I'm going on 10 months, and the doctors have really disappointed me. I'm still bleeding and in pain/discomfort. Both the gastroenterologist and the proctologist live about 150 miles from my hometown, so this is getting extremely frustrating. If anyone has any suggestions, please don't hesitate. I've been thinking 🤔 of visiting this KZbin proctologist. Sorry, I still haven't memorized his name. Thanks

[@rgawt1870]

Why do 99% of doctors not care about their patients 🤔 they really do not want to hear what we as patients have to say... they just don't give a damn

[@karolinakazmierska5196]

follow dr Chungs advices. There is also a good video on YT channel Pelvic floor empowerment regarding healing anal fissure

[@rgawt1870]

@@karolinakazmierska5196 never heard of pelvic floor empowerment ... Thanks, I will

[@Horselover1258]

Look up ANUSOL cream it helps a lot!!!! put it on as much as you need and it shrinks fissures and relieves burning and itching and they have suppositories

[@Datb2]

I used fresh aloe Vera as suppository froze it a lil bit and it worked

[@BiyiAdelekan]

Dr Chung. Thanks for your consistent advise on the subject of anal fissure & other topics. I had anal fissure for a couple of months. You described the symptoms perfectly well in one of your previous videos. What cured it for me was a combination of antibiotics & stool softeners. The healing process took about 6-8weeks for the pain to completely stop. Poop comes out now with relative ease and i have stopped all meds for about a month now. But, i did stop eating a particular food which i believe triggered it in the first place. KZbin research into your videos and other related blogs have been quite useful. I now know how to prevent anal fissure from happening to me again. HALLELUJAH!❤

[@janetharrison8670]

What foods caused your pain?

[@virginiacooper1929]

the first time I bought one of your products it was the bath salts and I hated how slippery it made my tub the 2nd time I got the cream and it is a life changer!

[@topdoochannel6609]

Did it get rid of itching for you ?

[@marcogonzalez8701]

What cream ?

[@82556jimmy]

@@marcogonzalez8701 Pranicura 5, yes it works.

[@marcogonzalez8701]

@@82556jimmyhow do you use it ??

[@johnspina318]

Excellent video as always Doctor Chung. No more mention of Pranicura?

[@yourfriendlyproctologist]

Pranicura is still a sponsor and supporter of this channel. Check them out at www.Pranicura.com!

[@johnspina318]

Yep on my second jar actually.

[@marcogonzalez8701]

Does it actually work or is it just a sponsor ?

[@Fern7441]

Do you put the panacura on top of the fissure medicine?​@@yourfriendlyproctologist

[@edissalinab4353]

@@marcogonzalez8701 it really works

[@carolwillett5495]

That sitz bath stuff is awesome and provides relief. I invested in a sitz bath that’s fits on toilet. Both together offer some relief .

[@parapoliticos52]

I wonder if a 40 day water fast will fix most fissures. With out bowel movement constantly irritating, scratching and infecting the wound, logically you give time to your body to close the wounds and fight off the inflammation. Or a liquids only diet design carefully for the water to be absorbed slowly through the day(so not to accumulate and discharged violently)

[@btsforever8176]

Should we try??

[@btsforever8176]

This is what I was saying to my sister yesterday that if we fast 50 days straight..No more pain right.. cause the pain is killing me

[@SuzanMiller-ou5kq]

My exact thoughts

[@anoopchalil9539]

Pranicura 5 excellent..but expensive....i recoment

[@OGalphabetmafia]

As a gay man in my 20s which a 3 year off and on fissure I want to pull my hair out. I just want to be healed and live life again 😭😭

[@mariecurie4]

Same here. My sex life is not good!

[@shrutishreya558]

Plz talk about comet poop and how to get rid of it.

[@dinhtanluong1390]

I am in Vietnam so how can I buy Diltiazem cream dr Chung. I am waiting for your answer

[@iraqitarot5277]

I am now in what you've described here 12:04

[@ziawalizada5786]

❤ thanks a lot

[@SharkDawg32]

I stopped using dry TP years ago it's barbaric

[@yourfriendlyproctologist]

LOL! Things I wish I knew earlier.

[@Honey4282]

This has been the key for me! Life saver (mostly)

[@SharkDawg32]

Remember the TP shortage during 2020? 🤣 I think it was an iQ test.

[@roseboudelair3729]

​@@SharkDawg32 Dude that was the hunger games edition of TP, the flashbacks of people waging war on each other for the last roll.😂😂😂

[@SharkDawg32]

@roseboudelair3729 it's like people! Use water to clean your butt! Stop using just dry paper😆

[@josephgarcia2979]

Somebody in the comments below mentioned that a change in your daily diet is necessary if you consistently suffer from bleeding fissures. The key is to monitor what you eat and eliminate those foods from your diet so that the bleeding stops reccuring. For me, I have eliminated caffeine from my diet because I suspected it was at the source of what was causing me to strain during bowel movements, and caffeine also has a tendency to dry poop and harden as it travels through your intestines, and as it exits, the harden particles tend to injure the fissures as they exit. I also noticed that too much meat also resulted in my having to strain more during bowel movements. Therefore, I decided to make dietary changes by staying away from foods I suspect are causing irregular bowel movements. It's been a couple of years now and I have only had one episode of bleeding which lasted about 3 weeks.

[@jayalakshmisingaraju7623]

yes you are right.eat ridge guard,cucumber,bottle guard,snake guard .skinless gree gram lentils etc you will get soft stool.

[@marcogonzalez8701]

How does the bleeding look just curious to know . Because every time I bleed I freak out even tho I was told at the emergency room that it’s a fissure

[@josephgarcia2979]

@ If it's a fissure tear, it's bright red. Anything else other than bright red, you need to seek medical care. If you are constipated and you go days without emptying your bowel, poop hardens and as it exits, it causes stretching or a tear in the fissure area. Best thing to do when recovering, is to change your diet to foods which don't cause constipation, and avoid what you suspect is causing you to go long periods without going to the restroom.

[@marcogonzalez8701]

@@josephgarcia2979 yea sometimes I go two days without getting the urge of going to the restroom. And whenever the bleeding happens it’s not much like before. But it’s bright red. And then the discomfort happens

[@josephgarcia2979]

@ I too panicked before I understood what brought on the bleeding, but since then, I stay away from caffeine and any other foods I suspect may cause constipation or discomfort. One of the foods which caused me to get constipated was peanuts and certain cheese products. Monitor what you eat in order to determine what doesn't agree with your digestive system. I have now gone back to using the restroom on a daily basis, which has also helped me worry less about gaining weight. The more you read up on other people's experiences, the more you'll be able to understand it, while also monitoring and adjusting your eating habits. Listen to your body as you are the only one who understands what you are going through.

[@ferchur4833]

Hi doctor. Could you make a video about the "comet poop"?

[@PleasantlyDisturbing]

Great info but i didnt see a solution or treatment plan for things like comet poop.

[@marcogonzalez8701]

Can you guys explain to me your symptoms please? I want to see if we have common symptoms ?

[@wkrost]

do you know LEVORAG? Its a wonderful cream to use when you have a fissure. And i also use a a fissure pen from Tordynex.

[@naturegirl4074]

17:57 that’s it. I have high tone pelvic floor dysfunction too and tight internal spinchter, rectocele. I’m effed Dr. Chung

[@marytaylor2824]

Same here been 5 years now. Miserable. Pelvic floor hates me

[@naturegirl4074]

@@marytaylor2824 I’m so sorry. This stuff is no fin

[@d-blockdrums7043]

Me as well. 😔

[@naturegirl4074]

@@d-blockdrums7043 I’m so sorry

[@Loi-b3l]

I need to see you I am on Medicaid will you help me me please 😢

[@jacksontalley]

How long can you take a non laxative stool softener? Like colace

[@34fnio23]

Is there a risk for cancer due to anal fissures?

[@karolinakazmierska5196]

What about the scar tissue in chronic fissures? Is it possible to heal it for good? So it won't break again and again?

[@limkientiong]

I have the same issue from anal fistula surgery.

[@karolinakazmierska5196]

​@@limkientiong the scar?

[@wassupmypeeps69]

Pranicura really does work. Follow the detailed instructions that come with it to a T and you will have success.

[@quake2u]

Going on one of these new diets can cause severe constipation in a short period of time causing a lot of damage.

[@watilatzudir664]

how i wish you are here with me i eat meds but use to have blood during bowel moment

[@watilatzudir664]

is it that nesscary to throw the sentinal pile

[@lameesahmad8784]

What causes mixed texture poop?

[@YasminBefum-rt1ie]

Hello Dr chung hello everyone I just wanted to share my experience with you all I suffered from a chronic anal fissure for 3 years trust me I tried everything and I gave up hope . After change of diet for life and 2 botox injections later I was able to avoid the surgery which i was dreading. Sitz baths do not work My anal fissure has healed 95% br Because of my diet change plenty of fruit and water and less fatty food and stay away from all white food eg: whitel boiled rice , white sugar, milk etc And please please everyone use BLACK REFINED CASTOR OIL EVERYDAY after a bowel movement , use it inside and outside the anus Take my word for it it will work this is coming from someone who actually knows what you are going through Use oil forever do not stop best of luck everyone

[@ladyhaiti7801]

Ok so God used your story to give me hope again I too have been living with my for 3 years it legit changed my life. I had Botox done once and they “removed an anal fistula and my skin tag. Oh the Recovey process was tough as heck. And my surgeon wants to do a LIS surgery. I’m not for it. My diet has changed completely I only eat potatoes, chicken thigh, okra water every night, grain free chips, bean salad drinking lots of water daily no type of milk only oat milk and I mean it goes on and on. So there’s that. Maybe I have to get a second Botox injection cause the exit is smoother now but it’s the spams that lasts for HOURS that destroys my day. Anyways thanks for your feedback

[@ladyhaiti7801]

Oj forgot to add I used organic castor oil and will resume to be more consistent and use it daily. But the itching is wild to as times

[@mountaingoddess9720]

I’ve been using castor oil on my face and hands. Now another area in need, Thank You!!!

[@DavidMFChapman]

I use a “travel bidet” to wash my bottom end after a movement.

[@jdl1989]

Ware are you located

[@naturegirl4074]

Thank you 16:44

[@Xboxcampking334]

Dr C 🎉

[@c.nobles1248]

Hi there! 😀

[@tp-usa7416]

I’m so happy to have come across your channel doctor. I have been experiencing fresh red blood in the stool couple weeks. I saw my doctor last week and was told I have hemorrhoids. I’m scheduled to see the GI doctor for colonoscopy next week, but I’m a bit worried. I don’t feel any pain at all. Just blood in stool. What should I do in the meantime? I will definitely get in contact with you. Thank you.

[@habbosh4999]

Dr: does the laizer final solution for the fissure?

[@momjd9985]

The flaming poop is spot on lol that's how it feels.... Lol

[@JosieDumas]

Sucks they don’t sell it in Canada. $45 for one bag if you try to get it.

[@suzanmiller558]

What has helped me is a two to three day fast and milk of magnesia.

[@dawnmccrickard7722]

I just recently had all three of my hemorrhoids banded and was so excited about not being in pain anymore and I still am because of a fissure and skin tag. Will this ever end?

[@naturegirl4074]

Yeah. Doesn’t help I had rectopexy and have to manually remove stool now 😢Still have rectocele hernia

[@naturegirl4074]

Yes it is 11:23

[@BlueYellos]

Hi doc, how about if there's blood and blood clot when pooping? is it dangerous?

[@marcogonzalez8701]

In the beginning when it happened to me I was actually seeing blood clots too but then days past and I didn’t see it as much . Now when the bleeding happens it’s only on the poop and some drops of blood

[@naturegirl4074]

So good to know 1:22

[@zhiweiliew8893]

Hi Dr Chung, what’s your opinion of a laser fissurectomy? And do u preform this procedure for chronic anal fissure?

[@ExoRisemFTW]

What is your opinion about laser surgery? The woundhealing process is better and the risks are overall very low as I heard

[@yourfriendlyproctologist]

That video is on my to-do list! Thanks for the suggestion!

[@yebutonu]

@@yourfriendlyproctologist would you be able to give some hint or initial impression of your to-do laser surgery and fissure video and what you think about the approach?

[@mowme7726]

@@yourfriendlyproctologistyes please

[@ExoRisemFTW]

@@yourfriendlyproctologist You are amazing! Thank you for being always this positive and giving us all that positive aspects and being honest! Watching your videos and dealing myself with a fissure. Its coming back every 4-5 weeks. Somedays I'm mentally down and other days I'm good. Hopefully it gets better!

[@SuzanMiller-ou5kq]

I have a fissure and a bump connecting to my ahole. It seems that my ahole has changed shape too. It takes forever to get clean down there because there’s always blood or poop drainage. This is the worst thing I’ve ever been through. The pain is excruciating. I am losing hope as im going on month ten of this.

[@irisnunez5741]

This is the same I have. I wish this suffering to be over. I have for more than ten years, but the las three years it's been pure hell. The bleeding has taken me for few blood transfusions, I'm usually in so much pain.😢

[@yoyoks9265]

Doctor im getting leakage of stool in fistula track after surgery is that ok??? please reply 😭

[@fazzolarijames]

Sorry to bother you Doc, I have a hemorrhoid which just prolapsed two days ago. Very painful at first now OK, have not been able to push it back in. Doesn’t seem to be improving either. I presume Grade 4. Should I be seeking a referral for surgery? Thank you.

[@eshamblazer]

I just got prescribed nitroglycerin ointment. I'm a little nervous about it. I just applied my first application but only applied have of what i was supposed to do (1 inch). I'll increase it to a inch probably by the end of the week.

[@fredrickdemello2260]

can you talk about if there is a relationship between chronic fissure and frequent urination? since fissure can cause pelvic muscles to contract

[@purnachandra6986]

If you are constipated,yes frequent urination is a possibility.

[@GeraldineDanielsSwamy]

Hi Dr Chung! Thanks a ton for your videos which are very inspirational and have the right kind of information! I would like to ask you about your suggestions on how to have small size poop as u mentioned too much fiber gives you large poop size so how we find that balance? I have been having anal fissures for almost 10 months now. Awaiting your revert at the earliest! Thank you once again

[@kelliwilliams4444]

Dr. Chung can you discuss differences in treatment options for infants with fistula? My 9 month has been dealing with a transphincteric fistula since he was 3 months old and we’re heartbroken

[@Loi-b3l]

I’m using the cream it burns 🥵 and not healing the fissure

[@krithikabalasubramanian6009]

Dr. I came to know that I have chronic anal fissure with a sentinel tag of less that 5mm. I m just 22 yrs old girl. Is it required for me to go for surgical procedures and remove it or will it heal over time. Pls reply.

[@ALLTRENDSCOMETOANEND]

Trying to dial in soft poo is like trying to find a needle in a haystack.

[@sharminasha9433]

Doctor I want to buy pranicura 5 cream. I have Searched it in Amazon. But couldn't find it. I live in South Asia. Is there any way I can get this cream? Plz help me

[@marcogonzalez8701]

Go to their actual website

[@sharminasha9433]

​@@marcogonzalez8701what is the name of the website

[@marcogonzalez8701]

@@sharminasha9433Pranicura

[@naturegirl4074]

Oh dang ok I’m not using my nifedipine enough most days…

[@zattana2687]

Same I’m using deltiazem twice a day and I didn’t notice a good improvement ( slight only) so I’m gonna use it 4 times since now

[@ccxmeow]

Yes!!! I use mine 3x a day and even tho my symptoms are almost basically gone, I’m getting a refill. 😅😅

[@naturegirl4074]

@@ccxmeow I hope I am able to get a refill without hassle. It’s ridiculous. One CRS I saw said she didn’t see the fissure. After other Drs did. And I know.

[@Amy-i8d]

Absolutely gtn ointment or diltiazem cream is a MUST

[@ccxmeow]

@@naturegirl4074 that’s frustrating when you know your body is feeling a certain way and the doctor is saying no… were you able to get one? Unfortunately this is my last refill and I feel like it’s something I’m going to need on and off long term. So frustrating and annoying. :(

[@AndroGuy9]

Please tell me whether I should go for LIFT procedure for my Intersphinteric Fistula (0.8cm, at 6'o clock position)??

[@yourfriendlyproctologist]

Hard for me to say..I would need to see you before I can guide you with treatments. Best to you, Dr Chung

[@AndroGuy9]

@@yourfriendlyproctologist actually I want to tell you something, I had been diagnosed with intersphinteric fistula at 6'o clock position of 1.5cm long in Dec 2023 then I tried many different things to cure it but it didn't helped that much but I researched a bit and read a study where doctors put FIBRIN GLUE into the tract which helped it to heal then I researched about fibrin glue and got to know that it's kind of collagen. So I thought of doing it on my own but didn't find it anywhere then I thought why not try something that helps the collagen production in the fistula tract and I found that HYALURONIC ACID can do this so I bought hyaluronic acid serum from the market which has salicylic acid and vitamin c in it and I put it into my fistula tract for about 5-6 months and then I went for the MRI again (June 2024) and it showed 0.8cm at the same 6'o clock position (with closure of the external opening, internal opening is still there) so whether am I successful in shrinking it?? Or if I continue with the hyaluronic acid will it completely seal the tract? I am confused whether I should continue this hyaluronic acid thing or should I go for the surgery?? Can you please give me some genuine advice? Because I consulted 3-4 surgeons including Proctologist but everyone has different opinions like some saying don't go for the surgery and the other one saying without surgery it cannot be healed, I am confused 😕.

[@AndroGuy9]

@@yourfriendlyproctologist actually I want to tell you something, I had been diagnosed with intersphinteric fistula at 6'o clock position of 1.5cm long in Dec 2023 then I tried many different things to cure it but it didn't helped that much but I researched a bit and read a study where doctors put FIBRIN GLUE into the tract which helped it to heal then I researched about fibrin glue and got to know that it's kind of collagen. So I thought of doing it on my own but didn't find it anywhere then I thought why not try something that helps the collagen production in the fistula tract and I found that HYALURONIC ACID can do this so I bought hyaluronic acid serum from the market which has salicylic acid and vitamin c in it and I put it into my fistula tract for about 5-6 months and then I went for the MRI and it showed 0.8cm at the same 6'o clock position(closed external opening) so whether am I successful in shrinking it?? Or if I continue with the hyaluronic acid will it completely seal the tract? Please give me genuine advice should I go for the surgery or continue this hyaluronic acid thing because I consulted 3-4 surgeons including Proctologist all have different opinions some say go for the surgery other say you don't need surgery. I know it's hard for you to advise without evaluating me in person but it's impossible for me to meet you as I live in India. Please I request you to kindly advise me should I go for surgery or continue what I am doing, I need an expert opinion.

[@AndroGuy9]

@@yourfriendlyproctologist actually I want to tell you something, I had been diagnosed with intersphinteric fistula at 6'o clock position of 1.5cm long I thought why not try something that helps the collagen production in the fistula tract and I found that HYALURONIC ACID can do this so I bought hyaluronic acid serum from the market which has salicylic acid and vitamin c in it and I put it into my fistula tract for about 5-6 months and then I went for the MRI and it showed 0.8cm at the same 6'o clock position(closed external opening) so whether am I successful in shrinking it?? Should I go for surgery or continue hyaluronic acid??

[@harshraghav9565]

hey dr chung so im from india i am looking at your bum soothing cream you suggest in your video there is not available in india can you suggest some alternative that available on amazon or internet i had chronic fissure it been 1.5 years and still cannot healing i visit 4.5 dr but every dr says you need surgery but i always go to surgery dr denied beacuse fissure is healing and aftersome day it getting bad..

[@2afreedom60]

I had a colonascopy. They removed 8 polps but just noted I had 3 hemmroids. No shxt I've had them since my last child in 1985. Why did they not remove them. I'm constipation is so bad I use a laxative once a week. Rest of time I'm bloated feel pain in gut. I have ibs. I'm miserable.

[@ngurafanai998]

Just got fissure and to add my luck it has to be on winter😢

[@SanjanaKumari-c1h]

I am your huge fan . I also have internal hemmorids at age 17 only and always feeling constipated almost 2 years and still now .Use 1 year laxative and it slow down my natural process . I don't feel urge to poop everyday . Please suggest me what to do.😢😢

[@marcogonzalez8701]

I have the same problem.. I just don’t get the urge to poop as well

[@ServingSass]

I wish the 15 minute appointment I paid $90 copay with insurance for would have told me half the things this 20 minute free video did. At least next time (if there needs to be a next time, with any luck, perhaps not), I will know to tell them upfront I am seeking a PT referral and to ask about inspecting/removing the skin piles. Do the skin piles ever exfoliate themselves without professional intervention?

[@dipankarnama4142]

Almost completed 2 year after LIS surgery still i suffering from chronic anal fissure i don't know why my first poop part is hard and that causing problem again n again

[@muneernizamani-mi5rd]

It's been two months since I started using stool softener with gtn and lidocaine gel, no bleeding or pain for a month. Should I now assume that my fissure is healed?

[@marcogonzalez8701]

What kind of stool softener did you use

[@muneernizamani-mi5rd]

@@marcogonzalez8701 I used cremaffin syrup laxative I know it should not be used for long but I had no other choice if I got constipated even one day during the treatment then all my efforts would have been wasted Alhamdulillah I am fine now.

[@tilsonstrong8056]

No

[@suzanmiller558]

What’s gtn?

[@muneernizamani-mi5rd]

@suzanmiller558 Serch on Google it is a medication that used to treat anal fissure without surgery

[@dogwalker1973]

I had Botox in the OR over two weeks ago and I am still suffering. :( I was told I have a skin tag as well. I've had my fissure for months. I'm not sure what is next. Everything is coming out soft but I am not voiding 100% so there is still some pushing on my anus. It is so painful. I clean with just water and use the ointment my surgeon gave me.