How Do You Treat An Anal Fissure? All About Anal Fissures: Causes, Treatment, Prevention, & More!

After making a different video all about how to treat and prevent hemorrhoids, I’ve received multiple requests to make a similar video all about how to treat and prevent anal fissures! I hope this video is helpful for you and that you find your healing soon 🧡
✩ Related Videos:
→ How to treat & prevent hemorrhoids: • How To Treat Hemorrhoi...
→ How to sit on the toilet to poop: • How To Sit On The Toil...
→ Easy constipation home remedy: • Home Remedy For Consti...
→ More on lubricant: • Video
→ Anal play safety & longterm health considerations: • Video
😸 Check meowt on instagram: / pelvicempowerment
🤸 Find a pelvic provider near you: pelvicrehab.com
Timestamps / Table of Contents:
✩ Intro: 0:00
✩ Anorectal Anatomy & Function: 1:02
✩ Anal Fissures Defined: 7:22
Anal fissures are small, usually longitudinal tears within the mucosal tissue of the anal canal that typically extend from the pectinate line down towards the anal verge.
Infected anal fissures can lead to abscesses and fistulas. An abscess is a localized pocket of pus caused by a bacterial infection, and causes pain, swelling, and tenderness (these symptoms go away when the abscess is drained). Like other infections, abscesses can cause chills, fevers, and fatigue. A fistula is a small channel, almost a tissue burrowing, that develops secondary to an infection. An anal fistula can move through the sphincters and exit via the anal skin, but it can also exit into the vagina or bladder.
✩ Symptoms: 10:42
✩ Causes: 12:28
✩ Treatment: 14:10
→ Topical nitrates: 50% healing rate, 20-30% chance of severe headaches, 50% reoccurrence rate
→ Topical calcium channel blockers: 65-95% healing rate, significantly lower rate of headaches, varied reoccurrence rate (less data available)
→ Botox injections: 50-80% healing rate (evidence suggests it is only slightly superior to topical nitrates), 0-15% risk of fecal incontinence, 35-50% reoccurrence rate
→ Lateral internal sphincterotomy: 90-100% healing rate, 0-30% risk of fecal incontinence, 5-10% reoccurrence rate
If you are comfortable with medical terminology, this is an INCREDIBLE resource to learn more about efficacy/risks/healing & reoccurrence rates with medications and surgical options: fascrs.org/ascrs/media/files/...
Also, this is a great 2014 study with a lot of information: www.ncbi.nlm.nih.gov/pmc/arti...
✩ Prevention: 32:04
✩ Outro: 34:31
Remember, materials and content available on this channel, Pelvic Empowerment, are intended as general information only, and should not be substituted for medical advice, prescription, diagnosis, or treatment.
Read my full medical disclaimer, here: www.pelvicempowerment.com/dis...
SEO tags: anal fissure treatment, anal fissures treatment, how do you treat an anal fissure, fissure treatment at home, anal pain, rectal bleeding, how to cure fissure permanently, anal tear, how to heal fissure in anus, how to heal fissure naturally, fissure pain, why do fissures take so long to heal, anal fissure surgery, why do fissures not heal, do anal fissures go away, will my fissure ever heal
♡ This video is not sponsored
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[@PelvicEmpowerment]

After making a different video all about how to treat and prevent hemorrhoids, I’ve received multiple requests to make a similar video all about how to treat and prevent anal fissures! ✩ Related Videos: → How to treat & prevent hemorrhoids: kzbin.info/www/bejne/gnKThpaVidSXkLM → How to sit on the toilet to poop: kzbin.info/www/bejne/a5bKfGBtn9d4fq8 → Easy constipation home remedy: kzbin.info/www/bejne/fYqqc5eeeax8oLM → More on lubricant: kzbin.info/www/bejne/ipPMaoKImJlqg5I → Anal play safety & longterm health considerations: kzbin.info/www/bejne/aILckHx3rLN0acU 🤸 Find a pelvic provider near you: pelvicrehab.com I hope this video is helpful for you and that you find your healing soon 🧡

[@andrewjames4346]

Tori has anyone (and I am sure they have) said to you that you look like Ellen pompayo or that she looks like you.....totaly off topic I know while we're talking about butts and stuff. .

[@PelvicEmpowerment]

@@andrewjames4346 Actually, I think maybe only once before? It's not something that I hear often, but I think I can see that we have similar chins/face shapes for sure!

[@mcervantes8215]

Hi I have this Annal fissure since Feb 2022.I try everything and ointment cream sitzbath and I changed my diet nothing works and the pain it's awful.I went to the hospital and they same me home because they already gave me everything for these .I can't take it anymore 😢

[@Beealivefully]

@@mcervantes8215how are you nowadays? Did you have a surgery?

[@carlstephan1]

IMMEDIATELY after watching this video and following the instructions Tori gives in it, I CURED my CHRONIC ANAL FISSURES!! I wish my medical doctor had given me as good guidance as Tori gives here! This is a miraculous video! What simple steps to great intestinal help!! This lady deserves a Nobel Prize!!! I'm not kidding about any of this. What a great presentation!!

[@PelvicEmpowerment]

Oh my gosh, I am SO happy that these guidelines led you to your healing! That must feel so good! And I really appreciate you taking the time to share your success in this comment - thank you, and thank you for your kind words and encouragements! Really means a lot to me 🧡

[@NeetuSingh-el7pe]

Agreed completely

[@tonimichaud1676]

I agree 💯

[@etcetc3800]

What exactly did you do

[@AwesomeFinish]

Unfortunately you need those doctors to prescribe the channel blocker medications.

[@longpicklebean]

I'm sick of having rectal exams! I've been dealing with this for over 2 years and the last 3 months I've been in daily excruciating pain for hours - up to 12 a day. My life has been horrible lately. I am hoping with all my soul that this video can help me.

[@aliyamajeed3889]

Were u always constipated?? And how r u now

[@longpicklebean]

​@@aliyamajeed3889 I was/am not constipated. Usually the other way (diarrhea). Unfortunately not too much has changed for me yet. I'm going to be getting Botox injections this week to see if that will allow for things to finally heal.

[@aliyamajeed3889]

@longpicklebean

[@aliyamajeed3889]

@longpicklebean

[@aliyamajeed3889]

@@longpicklebean thankyou for replying and were u always in pain or only when with bowel movements I started having this pain since 3 months with on and off fever

[@ruthalexander6681]

I think you are the BEST teacher ever!!! Thanks so much for your videos!!

[@user-dh2xo5in2m]

It is the best video on you tube I have seen so far. You explained everything in detail and I am full of praise for stay blessed

[@ehsanulhaq9916]

The best ever explanation! Thank you so much!

[@RakeshRoshan295]

You are a brilliant doctor ever seen in my life..... every point you said is correct....hope this will help me healing from fissure 😢

[@angierandazzo9309]

This video was so helpful, thank you!!😊

[@julieevanb]

Such an informative video! I have done extensive research on this topic and this is the best information I have found!

[@arules713]

This is by far the most informative piece of anything I have been able to find on the internet. Thank you so much.

[@PEDNEKAR1616]

By far the best in-depth video about fissure there is on internet.

[@BellaMecia]

Thank you so much for making this video. You are literally saving my life right now. I have searched high and low for a thorough explanation of this with remedies to follow. You explain everything so clear and concise. I’m so happy I found your channel!😘

[@letableau]

An excellent easy to understand video on such an annoying and painful issue. I'm very grateful thank you!

[@signatureblaque5360]

Thank you so much for taking the time to make this video and others! You’re amazing!!

[@PelvicEmpowerment]

You're so welcome, I'm really glad it was helpful for you ❤️

[@normanroberts5573]

A very good presentation ,your a gifted teacher..well done ..and thank you.

[@elizabethsytsema9773]

😂 Thank you so much! Have been dealing with this for so long. Pain and itching are awful. Have been to 2 doctors, neither helped. So 😊 glad I saw this, bless you!

[@dipeshshahus]

Love your channel. Highly informative ☝️ Thanks for all your videos on this channel. Truly appreciate your videos.

[@PelvicEmpowerment]

Thank you so, so much! I'm so glad that my content is helpful for you, and I can't tell you how much I appreciate your support 🧡

[@augumentum]

You did a great job explaining that. I especially like the internal and external sphincter with the toilet paper rolls.

[@helinaarif7411]

Thank you so much, this video so informative & helpful!

[@KuKu-vd6be]

Thank you so much you made it easy for me understanding 🙏🏾🙏🏾🙏🏾

[@jjnewbold]

Thanks for this video, I've suffered from these off and on for a long time.

[@PelvicEmpowerment]

I'm so sorry that you've been suffering on and off for a long time, but I really hope there are some helpful ideas in this video that can help you find your healing ❤️

[@senzokhumalo3452]

Very well presented and considerably useful. Thank you Dr & God bless your remarkable work - 🙏🏼🙏🏼🙏🏼

[@kerrypolly1252]

Brilliant explanation the best I have ever watched. Thank you so much.

[@naturegirl4074]

This is the best explanation I’ve seen

[@naturegirl4074]

@@tanughosh222 ummm I have no idea what You are saying 😅

[@teferaselassie4742]

Great presentation!!❤❤❤

[@kirtikana3482]

I've been trying to figure out for months WHAT in the WORLD was going on... shoud've come to dr.youtube sooner. THANK YOU SO MUCH for such a detailed video! I'm off and committed to healing for the next few weeks and figuring out how to stay consistent while traveling. Thank you again!

[@laram.5573]

Best video on KZbin!!!!

[@graelamb1556]

Very good presentation. I wish my doctor would explain the way you did. I was never bored listening to you. Thank you so much for a very helpful video.

[@trudyclaireogle9894]

Superb video!

[@carlstephan1]

Most informative video on the subject I have found - really thorough and simply presented!! Very Well Done! Where can I find information on the proper posture when sitting on the toilet?

[@PelvicEmpowerment]

I'm so glad that this video was helpful for you, and thank you so much for the kind words 🧡 The proper toileting posture video is here: kzbin.info/www/bejne/a5bKfGBtn9d4fq8 I hope you get to feeling better soon!

[@lawriekulpurusha7286]

Very important and informative video

[@lOwlEyesl]

Fantastic video- you answered so many of my questions! Thank you! (I am about to have rectocele surgery.) My surgeon is arrogant and not very good at listening- prescribed topical nitrates despite me telling him I get daily migraines- so I used that product once and only once. I was using a product called Aquafor as a barrier (its like vaseline but not as sticky) in lieu of powder to prevent itching. I have never really been a fan of powder because I live in the American SouthWest-my skin is already dry enough! -and I had a bad experience involving leather pants, lotion and baby powder (together they make a paste! This, in turn, causes great strife when an overheated human female is trying to remove said pants. And you can just forget about putting them back on... which isn't so bad, unless you happen to be trapped in a public toilet.) ANYWAY, You are the only person to actually make a case that swayed me to try it again because I do live near the surface of the sun and have a little extra junk in my trunk, I tend to sweat more I have to say, I am so grateful to have found your channel- I think it was fate because I found you before I was diagnosed with pelvic dysfunction. Have you done any videos on how to exercise -do's and don'ts concerning pelvic injury or pelvic floor dysfunction. I recently discovered I WILL NOT be riding a bicycle (unless recumbent!) any time soon due to a perineum injury, so I am just trying to figure out what I can do at home to recover. I also wonder about sitting/walking too much with the injury. I am an artist, so I sit a lot for work.

[@PelvicEmpowerment]

I'm so glad that this video was helpful for you! I think I remember when you found my channel, was it to do with my GERD/gut health & birth control videos? I think I remember you! I'm so sorry to hear that you're navigating an upcoming rectocele corrective surgery and a perineum injury, and that your surgeon isn't very good at listening. Thank goodness you didn't stay on the topical nitrates considering your history of migraines. Has your surgeon or have you considered pelvic physical therapy after surgery? Sometimes getting a 6-8 week post-op (pending on the surgeon) appointment can be super helpful. A pelvic PT can help you rehab your pelvic floor, walk you through safe exercises (and help you with your questions about sitting/walking), and teach you how to best protect the longevity of the outcome of your surgery! Yes! I'm familiar with Aquafor! Oh my gosh, your story about heat, leather, and baby powder sounds so unfortunate, I am so sorry that happened to you! I don't blame you for choosing Aquafor over baby powder considering that experience! I don't have a video about safe exercises for pelvic floor dysfunction, but I love that idea! I've always struggled with exercise content because I get in my head about the audience not necessarily knowing if the exercises are safe/appropriate for them and then getting hurt/making themselves worse, but I also understand that some of my viewers don't have access to pelvic health services and are doing their best on their own. I've gotten a number of exercise-related requests now, maybe I'll do my best to start creating that sort of content but with a thorough outline of who should/shouldn't be partaking in the exercises first!

[@sathyadr4445]

It really helped me… I got more knowledge about this subject… Thank you 🙏

[@migtate1]

Thank you for explaining the situation in a layman's terms you were great.

[@Amirhossein8844]

Truly amazing!

[@jasonpatrickries]

Thank you! This is great advice.

[@drewcrawford447]

Wow you really did break down and explain better than anyone on internet or doctor or surgeon I have consulted I’ve now suffered for over as year and has destroyed my wonderful life previous to this horrible pain of a fissure My big mistake was not being patient tried the GTN then had Botox and 6 weeks ago had LIS Surgeon said after 3 week was about 75 percent healed but when he checked today Looks like I set I back to 50 percent a moment Having 6 hours pain after B M on hindsight If I had use the GNT and followed your instructions I believe would been better off Today you are definitely the best on line by miles so I hope people listen to you This problem also effects peoples mental health due to the location

[@user-ni1he8qv6u]

hi how r you now? is the fissure healed completely after surgery?

[@heather5743]

Thanks for the information. First timer and going on three weeks with little knowledge. Time to (hopefully) heal this horribly painful thing.

[@PelvicEmpowerment]

So glad this was helpful for you, and hopefully implementing the conservative techniques will do the trick for you! Wishing you the best in your healing 🧡

[@carolynwilliams3502]

Thank you so much this info is so important 2 so many.

[@694069406940]

thanks this was really good information 👍

[@PelvicEmpowerment]

I'm so glad it was helpful for you, and I hope you or your loved one feel better soon 🧡

[@swamijeevanpromod1657]

Always great full to your graceful efforts to provide us valuable information , 👍👍👍👍👍🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏

[@PelvicEmpowerment]

I'm always so grateful for your support 🧡 thank you so, so much!!!

[@indigoframes]

Thank you for the guidance. I’ve been struggling to heal a fissure for 5 month and you explained things way better than 3 Dr. I’ve seen. I really appreciate your video!!

[@bratishabiswas5881]

How are you now? Dose your fissure heal?

[@kevinneal3255]

Did you get it healed I been dealing with one for the same 5 months in pain

[@stevenpringle7813]

Very well done.

[@rossa.889]

Excellent! Thank you so much.❤

[@ayannatexasrealtor3210]

Regardless you are Awesome on so many levels, explaining things this way! Thank you ty

[@grayhebshi]

I think everyone agreed that this lady have provided more info in a very organized way than any other physician or Proctologist. I am currently suffering from anal fissure so I am watching a lot of videos to educate myself.

[@bridgetjones5695]

How are you doing ? Any relief yet ?

[@grayhebshi]

@@bridgetjones5695 Thanks for asking. I am doing pretty well. My family doctor prescrbied me nifedipine cream + stool softener. I felt relieved during bowl movement right after I start using the nifedipine but I came across another issue which was a nasty pain that could last up to 8 hours after bowl movement. it was more painful while I was driving. Two weeks later, I start feeling better, and pain after bowl movement became less painful till the point that I am kind of fully recovered in terms of pain but still the fissure does exist. a skin tag right next to the fissure what I believe is the source of the pain after bowl movement. I have an appt with proctoligst soon to confirm.

[@bridgetjones5695]

@@grayhebshi thank you so much for getting back to me . Have you experienced any side effects from nifedipine cream ? Which stool softener did you use?

[@grayhebshi]

I remember I had nausea and headache for few hours in first apply. I beleive felt that way coz I read about it before I start using it. Its better not to think about it and get busy with your daily activites. I use laxative stool softener. It comes as powder so I mix 1-2 tbs with water everyday in the morning.

[@bridgetjones5695]

@@grayhebshi thanks again 🙏🏻and lastly how soon does this cream start to work ? After how many applications ? 🙏🏻🙏🏻

[@s-p-tmusic8190]

This video was very informative thank you so much 😊

[@PelvicEmpowerment]

I'm so glad it was helpful 🧡

[@jodicieszkowski7077]

Thank you so much !!! I am an RN suffering with this condition & got more from your video than the actual Physicians!! You ROCK SISTA!!!💜

[@PelvicEmpowerment]

I'm so sorry you're suffering, but I'm really glad this video was helpful for you! Here's to a speedy recovery 🧡

[@creativesounds2024]

Jodi I am RN too having this issue. What end up solving this for you?

[@ghazalrad5554]

The best teacher❤

[@PelvicEmpowerment]

Thank you so much 🧡

[@AmitSingh-cj3lm]

Very useful info. Thanks 👍🏽

[@PelvicEmpowerment]

I'm so glad it was helpful for you 🧡

[@DirectorXJonny]

AMAZING VIDEO .

[@rousseaurachel649]

You are an angel sent from heaven . Thank you

[@PelvicEmpowerment]

Aww, you're so kind! I hope you get to feeling better soon 🧡

[@user-of8ks7cu3i]

Best of the best thank you doctor.

[@helenpilch2633]

So helpful!TU so much!

[@rafaelevoramartorell]

Great video! Best I’ve seen so far about this subject. Please, can you also explain about the foods to avoid and foods to prioritize? Also drinks like coffee, alcohol, teas, juices, sodas, sweeteners like honey good or bad, sugar, salt, spices?

[@beverlyhelm5287]

I found that my constipation was caused by gluten and dairy. You might try eliminating these things and see if it helps. Good luck

[@andy1962ish]

Very imformative..Thankyou

[@Beealivefully]

Excelente Video, thank you for all the explanations! I ve tried nitroglicerine for some Days and stopped as i feel still the itching and very bad headaches. My fissure got completly healed and came back after a colonoscopy exam. For me the itching is what is causing a lor of skin inflamation. It is a very painfull situation, it can be very challenging mentally and emotionally, i ve also treated with different kind of therapies Strenght, compassion towards myself and self love i ve learned a lot ❤

[@shameikar2123]

oh my goodness. I had no idea sitting on a donut could be the cause. I had a cyst removed and sat on a donut, even driving with it for over a year since it became comfortable. No wonder I can't get this thing to heal. Thank you for this informative video!

[@TimFantone]

Thank you this was super helpful

[@aliciaali8237]

Your presentation was exceptional! I've been suffering with a fissure for over a month. On antibiotics and pain killers but need a cure. Im going to practice step by step all you've outlined. Thanku much

[@PelvicEmpowerment]

I'm so sorry that you've been struggling for over a month, but I'm so glad that this video was helpful for you! I really hope that implementing these steps brings you some relief, and I wish you the best in your healing 🧡

[@user-eg1rt4xy8k]

How r you?what did you do eventually?r u well now

[@rajput1839]

Very informatiive video ./pranayama(breathing exercise) can also help in releasing tensions in sphincter muscles

[@Beealivefully]

Which pranayama?

[@juanmiguelmanzano5198]

very substantial video content

[@PelvicEmpowerment]

I'm so glad this was helpful for you 🧡

[@lewharrington1422]

Thanks!

[@melvayaredaguilar]

wow you’re so right

[@johnnysingh2620]

Mind blowing video! Very well done and explained.

[@PelvicEmpowerment]

I'm so glad it was helpful for you and I hope that you get to feeling better soon 🧡

[@lizagiblin9498]

Thank you so much ❤

[@susanbroking5176]

I love your videos. They are very helpful. Suggestion...Under preventative...I was expecting to hear you weigh in about food choices & fiber drink options (psyllium husk, guar gum, etc.) If you discuss it in another link, please let me know. My understanding is 35g of fiber daily is the goal. I'm finding it really difficult to come close to that #...even while eating a generous amount of fruits & veggies every day.

[@CTFxCpanda]

You are amazingggggggg

[@ibnuabbas6649]

Can you drop an image of a calcium channel blocker? How is it called in French and can I buy it and use without seeing a doctor?

[@kac56]

Hi Tori, love your videos. I've had gastro/stomach issues for many years. Long story short, seen 2 gastro docs and one surgeon. I've had much testing over the years. Nothing has solved my problems, it's probably getting worse. I just started physical therapy for pelvic floor dysfunction and I'm hopeful, but it's only 6 total one hour sessions. How do I find someone like you to help me on a regular basis, which I think I need at least for awhile. Thank you!

[@XYZUSER2007]

Thanks for this great informational video - very well explained! Will you be able to provide some treatment options for sentinel tags (that grow around fissure) to reduce their swelling and pain? And is there some way to shrink//remove them?

[@PelvicEmpowerment]

I'm so glad this video was helpful for you! I did respond to your comment on my other video as well, but I wanted to say that I definitely think some of the same concepts for healing fissures/hemorrhoids would help decrease tags' swelling and pain! Namely not hanging out on the toilet for longer than you need to (the tourniquet effect would be provocative I think), normalizing stool consistency, and avoiding straining activities!

[@XYZUSER2007]

@@PelvicEmpowerment Your suggestions make perfect sense - Thanks for your response!

[@PelvicEmpowerment]

@@XYZUSER2007 Happy to help 🧡

[@user-pk4iw7hg7e]

Hello haw are you and thanks for your advices and suggestions . what are the reasons of recurrence after healing despite no constepstion occurred..

[@PelvicEmpowerment]

I'm glad this was helpful for you! Reoccurrence can happen with diarrhea as well as constipation, unfortunately. It can also happen after having to strain more than usual with a bowel movement (even if it's not a constipated BM), or after having a larger BM 😔

[@joellanderson5137]

Wow, what an informative video. Been dealing w my fissure on and off for at least a couple of years now. I've been doing some things right and some wrong. Going to give it everything I got before I go under the knife as the pain is unbearable and I'm getting worn down. Thanks for all the tips.

[@Beealivefully]

Did you manage to recoger or did you take the surgery?

[@joellanderson5137]

@@Beealivefully Surgery last September. Only wish I did it sooner, total game changer.

[@Beealivefully]

@@joellanderson5137 thank you for your answer ! I ve ben same, somethings right-wrong and have it for öne and half year, thinking about surgery . Contemplating the risk, life is already a risk with the symthoms of the fissure.

[@joedawood7]

Did you have any discharge issues?

[@joellanderson5137]

@joedawood7 Nothing out of the ordinary (colorless/odorless fluid). Maybe a sign things were healing, idk.

[@MrDaveaneo]

The efficacy you stated for the various treatments, are they all coming form the same state? In other words, is Botox x% effective at treating any fissure or only the ones that have already tried, for example, months or years of conventional treatment?

[@Raachel244]

I had two rounds of botox injections for mine but they didn't help! what helped was keeping stools very soft and the calcium channel blocker was a life saver. the nitrate creams sent me to ER with the blinding headaches. if I eat badly for a while my fissure will open up again but can be healed within a month or so. My surgeon refused to do a LS as I'm 24 and the risk of incontinence was too high

[@PelvicEmpowerment]

First of all, I am SO sorry to learn about your experience with nitrate creams! I cannot imagine how scary those headaches must've been if they sent you to the ER, but I am so happy that you figured out how to normalize your stool consistency and that that ultimately worked and continues to work for you. So interesting about the risk of FI with the LS! Of course statistics and real-life implications are different but I'm really glad that you opted for the calcium channel blockers since your surgeon was worried about the risk. I'm definitely weary of the risk with my FI experience in the clinic. Secondly, thank you so much for sharing your experience so openly here (and on other videos!). I appreciate it and I hope your comment helps someone else either in their healing, in being reminded that they aren't alone, or both 🧡

[@mnorris916]

What is the brand of channel blocker did you use and where did you find it?

[@Raachel244]

@@mnorris916 medical name is diltiazem 2%

[@leahdavis9984]

Were the botox injections done in office? Were they painful?

[@dlalleman3874]

@@leahdavis9984most doctors do it under general anesthetic

[@saraoh3798]

hi...i love your videos. my biggest problem is i can never tell which day is constipation and which day is diarrhea. it could be both in one day. its never ever consistent. iv been to doctors for 4 years. with no solution do you have any tips for that?

[@PelvicEmpowerment]

I'm so sorry that you're struggling with inconsistent constipation and diarrhea, and that the doctors haven't been helpful. I'm honored that you're comfortable asking me for guidance; however, I cannot give individualized medical advice. I can only share general information. That being said, I have some general information to share 🤗 A few things to consider... if it's a mix of constipation and diarrhea, it makes me wonder about digestion (I'm the most curious about stomach health, small intestine & large intestine health). I'm curious about SIBO, I'm curious about mixed IBS. I'm curious about medications (if you started taking something around the same time these symptoms started, including birth control). SIBO, mixed IBS, and pharmaceuticals can all interfere with digestion and cause bizarre, inconsistent BMs. Have you considered those ideas/ruled them out? And thank you so much for the kind words about my videos, that means a lot ❤️

[@nobendudas3877]

Thank you 👍

[@martincarr4204]

What is a natural stool softener is water, but the it needs to be room temperature, so cold water, cold drinks and cold foods are the culprit, it causes constipation and hard stools.... I noticed that when I switch to room temperature , hot foods and drinks , my constipation went away along with the hard stools, I know it may seem refreshing for cold drinks and cold foods but it really messes up digestion, I could not believe it myself, maybe for some it does not affect them, but with me it sure does... So with me, I do not drink or eat anything cold anymore, yes it can be in the refrigerador but I will heat it up in the microwave.....or I will drink very little milk or juice if it is cold..... this has changed my life..... even beer, i drink it at room temperature......no ice or ice cream....cold soda and excessive sugar foods /drinks. Guys and Gays, give yourself a week on this and say yourselves if there is a notice of difference , with me there was a complete difference

[@thefantooos]

Great and simple to understand step by step video which I would recommend to any Anal Fissure patients. 👍

[@PelvicEmpowerment]

Thank you so much 🧡

[@sylviabowden1526]

Very helpful

[@tkr5205]

Thank you, Doctor Tori for making such helpful and informative videos. You are great ! I have a lower back problem, so I got myself a sitting donut for my chair recently and now I have an anal fissure problem. You mentioned about the sitting donuts are not that great in the video ! Now, I stopped using it. I wish I knew that before... In my case, does the anal fissure heal if I treat it the best possible way at home?

[@PelvicEmpowerment]

Thank you so much for your kind words 🧡 I'm so sorry about your LBP and resulting pathway to fissure - I'd be hopeful that, since you know exactly what caused it and caught it so early, that the fissure would respond well to conservative, at-home treatments. You just have to be disciplined and committed! Wishing you the best in your healing!

[@tkr5205]

@@PelvicEmpowerment Thanks Doctor! I appreciate your kind respond...🙂🙏

[@joraumaitau4401]

Thank u so much....GB.

[@pillytube5930]

Thank you ❤

[@PelvicEmpowerment]

You're so welcome, I hope you get to feeling better soon 🧡

[@junaidhussain60]

Been suffering with anal fissure for a very long time due to it being originally diagnosed as hemeroids. Only recently been told it’s a fissure. Tried nitrate gave me migraines, then tried calcium.. helped but didn’t heal. Just yesterday had botox and skin tags removed. Feel a lot better but like you said can’t control gas! Still a little pain but nowhere near to what it was a day ago. Came across your video, amazing how you explained it! I’m sure you are a great doctor just as you are a teacher. Hopefully this Botox treatment works, also if you do see this message please advise if i am still able to use my diltiazem after having Botox injection? Once again thanks for this truly amazing video. I’m subscribed from 🇬🇧

[@barshabhandari281]

Hi hope you recovered. I am considering botox injection too, how was recovery and did it work for you? Thank you!!

[@junaidhussain60]

@@barshabhandari281 honestly it didn’t help at all, if anything made it worse. Since then I came across Pranicura, it’s been a god send.. pain is gone and feeling so much better. They also refund you if it doesn’t work for you but you must follow their treatment as outlined on their instructions. Good luck, hope you get better !!

[@iqraijaz2220]

​@@junaidhussain60 is it available in Pakistan? How much it cost in Pakistani rupee?

[@junaidhussain60]

@@iqraijaz2220 I’m sure they ship to Pakistan. The cost is $50 + $6.99 ups shipping. So about 16000 rupees. InShaAllah you get better soon Ameen

[@dumbness-or-kindness]

@@junaidhussain60 I tried that cream, it didn’t work for me at all. I’m going to surgery next month 😿

[@kavitasankar9252]

My doctor prescribed calcium blocker nifedipine tablets to take orally, will that work just the same as topical calcium blocker, also can this cause constipation?

[@GinaSherman-gc2cx]

I like your video, it has helped me . I happen always at nite . To get my pain .

[@TNTechy]

Thanks mam love from India ❤️

[@PelvicEmpowerment]

You're so welcome, really glad this was helpful! And love from across the ocean back to you 🧡

[@gppatil33]

Hello I m from india I have cured the tear and there is no burning sensation but I have sentinal tag. Can you tell any remedy or treatment to shrink it to normal. (No surgeries). Thanks for your video I have done the same and slitz bath really help. Keep doing the good work doc.

[@samhunsur6141]

You need surgery no other option as per my understanding

[@katrina4013]

I'm not sure if I have a fissure or hemorrhoid, the hospital said they thought it was a fissure but I did not have an exam, but it stings to use the calcium channel blocker and I'm afraid to stick anything inside because of the pain. I'm taking a mixture of Tylenol and ibuprofen while I wait months to see a surgeon for a diagnosis and I'm scared these will cause serious damage if I'm taking them for so long. Will the calcium blocker still work if I only put it on the outside? Thanks for your videos they are peaceful and easy to understand for someone in pain.

[@PelvicEmpowerment]

I'm so sorry to learn that the hospital didn't do an exam/give you a proper diagnosis and that you have to wait months to see a surgeon! It really upsets me that the hospital discharged you without a proper rec*al exam. If you're able to see your primary care physician or even if someone you love can take a look and just rule in/out anything obvious (something of substance, swollen and hanging vs. a tear) - that might be helpful just so you can have some direction in your treatments until you can see your surgeon. Know that I cannot give individualized medical advice, I can only share general information/resources. That being said, the application of the calcium blocker and its efficacy depends on what you're trying to treat and where it's located, so it's really hard for me to give you any resources/information in response to your question 😔 Prolonged use of any drug comes with potential side-effects. While ibuprofen and Tylenol are relatively safe drugs, if you're at all concerned, ask the provider who encouraged you to start taking them together (they're very effective for pain management when taken together, and are sometimes taken together for longer periods of time, a couple weeks in a row maybe, but there are other pain-relieving options available if you're concerned!). I'm really sorry that I can't give you clearer answers or be more helpful, but I'm so happy that you enjoy my content! Your kind words mean a lot to me 🧡 I hope you get to feeling better really, really soon!

[@katrina4013]

@@PelvicEmpowerment Thanks I dont have a family doctor not enough to go around here. I am going to a walk in clinic so maybe I can get some answers.

[@PelvicEmpowerment]

@@katrina4013 I hope the walk-in clinic can better guide you. Don't ever hesitate to advocate for yourself. It's okay to make it clear that you want a proper exam so that you can have a proper diagnosis to guide your treatment. Health care is a service industry - and you deserve that service, always.

[@mathsisapieceofcake6692]

Please apply coconut oil inside anus area with the help of an enema bottle and fissure will heal within a few weeks.

[@francescarll9869]

Thank you

[@Mohammedali-lr1qy]

Thanks 😊

[@sasikumarsubramani618]

Hi this is the most amazing content for anal fissure that I have ever come across ! You did an exec Ellen’s job and made so crystal clear ! May god bless you ! Can you please let me know where you are located as I am looking for PR for anal spasm and would really appreciate if I can have the PT done from you ! Thank you 🙏🏼

[@beverlyhelm5287]

There may be a physical therapist in your area that has been trained in pelvic floor problems. Ask around (any PT should be able to guide you to someone who does this). Also a good book that can help is “A Headache in the Pelvis”

[@casandralaranjo9673]

Doc those annal fissures .can affect your medical certification.?I mean do it give negative feed back on getting medical certificate when you work abroad?

[@PelvicEmpowerment]

Hmm, I have to admit, I don't know anything about medical certification for working abroad or how their feedback is collected, so I don't know the answer to this question! I'm sorry that I can't be more helpful, and I hope that you find the information that you're seeking elsewhere 🧡

[@DeniseH-cf8yl]

Diltiazem cream is the only thing that saved me from fissures in addition to a Fibre diet but the cream is a must

[@ManishK-fe6is]

Bro I am using fidonal cream will it treat my fissure

[@shivamvaidya1782]

Excellent

[@PelvicEmpowerment]

I'm so glad this was helpful 🧡

[@ayannatexasrealtor3210]

I have to say...im not sure whats going on with my bum since my constipation episode but this video gives me info as to what could be going on since that cramp happen. Why my bum is hurting on many levels. If i could speak to you and get more clarification that would be awesome...

[@snow12343]

Hi there how are u now .. What are your symptoms

[@nobendudas3877]

Very helpful contents 👍

[@tonimichaud1676]

Thank you for all your information you gotten in to detail witch Really really help so much. , Im so glad someone finally attacked this with more information than Amy one else , I really listen to this from beginning to end , A lot of the information ℹ️ already knew but some I did not any new information to this problem is definitely welcome and needed. This is so very painful. I was diagnosed pretty much right away what I had a ( fissure ) these tears in anal canal or colan this is something that is very hard to deal with. The pain is excruciating. So thank you again for this information.

[@snow12343]

Hi there how are you now... Where was your pain located could u please tell e

[@RAMSEYM2402]

Apart from the home treatment, i'm using GTN in the morning and at night, even though I get headaches. Im aldo using Lidocaine. I dont know if im doing right, because the burning pain still seems to be there. Ive not decided to fast for maybe 2 days, taking Laxido (stool softener):in the meantime. Really fed up with it, as I have problems with my mood anyway😏

[@ma.rossanajasminaquino7346]

Doc, why is it recurrent? It healed for a month with topical Nitroglycerine and then it came back! I would like to avoid surgery and I'm thinking it's my diet which needs to be overhauled. I've been eating brown or wholewheat carbs as my staple but I suspect it got triggered with garlic, beef and sour foods. Hoping to hear from you! Thank you.

[@PelvicEmpowerment]

While I'm so glad that you were able to heal, I'm so sorry that the fissure has returned! Often times fissures that return/become recurrent won't stop recurring until you treat the true "underlying" issue - normalizing stool consistency (constipation/diarrhea) tends to be the most common/is a great place to start, and diet, like you're suspecting, can absolutely play an integral role in both irritating and healing fissures. Unfortunately, I cannot give individualized medical advice, so I cannot guide you in how to specifically change your diet - but it sounds like you're on an intuitive healing path! I'm sorry that I can't be more helpful, and I hope that you pinpoint the "underlying" cause, remedy it, and find your healing soon 🧡