2 reasons why your Anal Fissures bleed so much!

[@lanapoulliot7682]

You're so funny, "something dangerous is about to happen". Literally me every time I sit on the hopper 😂

[@kalynharris5847]

Thanking for helping . I am learning more from you. Thanks to you now I know more 😊 do me videos

[@twinklemishra6014]

The world needs more doctors like you ❤

[@AC-is9jf]

Doc, thank you so, so much for all your videos. I saw a massive amount of blood in the toilet and panicked, hard. I ignored, it but it happened more times. So, I gathered what very little courage I could find and had a colonoscopy. What a process that was, plus never been placed under anesthesia before. The procedure was perfect though. The result? Hemorrhoids. That’s it. So, I purchased PRANICURA! I’ve had tried all different products for my condition and nada. But I’ve been using pranicura and it’s truly THE best product. Thank you so much for looking out for us who struggle and providing the solutions ! God bless.

[@ConfusedBilliards-zu2vf]

Please where can get pranicura from

[@AC-is9jf]

@@ConfusedBilliards-zu2vf I just followed the link or went to hai web site and just called them to place an order. Hope all is well, God bless

[@creativelycreated7489]

It can’t take a joke. 😂 Thank you for making such a scary experience entertaining!!

[@annisacebret]

Omg I'm crying, i can literally feel that doc 😢

[@handiable]

I absolutely love your advice Dr. This is the only helpful site I've seen from a professional speaking from experience. Thank you so much. 💖

[@SkyBlueNeil]

Just back from the Hospital, I was bleeding heavily for 2 days, blood tests and exam ok, this information is reassuring thank you.

[@billmarkelz]

Thanks Dr. My Panicura is on the way!

[@mysmirandam.6618]

Thank you so much I'm not freaking out so much now

[@guestguest2030]

Look at those drawings! You're an artist, aren't you? 😜

[@jocelynkarle2859]

Hi Doctor Chung ..I've used Pranicura 11 the first go round ,helped me so very much!!!! And seeing how that was my first horrible experience,never thinking after I got it healed an did all the things I needed to do to stay that way!!!! Until this new horrible one now!!!!...as you well know it's now Pranicura5... Honestly I prefer the the original one better!! More burning for me, anyways..still worked the best, than anything my Doctor prescribed...than of course when I finally found you thankfully!!!! Learned so much about this horrible painful condition!! Thank you!!

[@manishshahi2030]

How to order this cream. I am from Nepal

[@illuminatedgalaxies7777.]

Thank you your advice has helped me a lot and educated me better thank you 💜

[@workoutgameout]

Ty. This has helped me alot. Been dealing with this, and thought hemmeroids were just a small thing.

[@guitarhero9592]

Thanks Dr. ,really learning a lot from your videos more than any other videos and really appreciate you. I’m in SoCal also and you seem to definitely have a laid back demeanor that I’m sure many of us love. 😁 Don’t know if you’ll reply but what’s your opinion on Clotrimazole/Betamethasone cream for fissures? 🤙

[@jpcreech99]

Going thru the same thing. I really appreciate all your videos and everything you do. I wish you were based in Fort Worth so I can go to you.

[@brandonstock2042]

Thank you for your care and information

[@judydelacruz785]

doc chung where youre store ,?

[@dannybasmayor8894]

I order pranicura cream

[@anastasiabeautyy1864]

Can you use Panicura while on compound ointment? I’m in Australia

[@tonyamaltseva5270]

Yes, Doctor! It's really what I suspected! Pooping through the tight sphincter makes the fissure break up over and over again. Thank you soooooo much for the explanation! Is there any way to prevent the sphincter from spasming during pooping? Any exercise? Cream? Thank you again for your extremely helpful videos!!!!!

[@yourfriendlyproctologist]

Check out my videos on anal spasm and treatment! The answer is there.

[@tonyamaltseva5270]

@@yourfriendlyproctologist Thank you, Doctor!

[@SuzanMiller-ou5kq]

You just explained my problem. Fissures on top of external hemorrhoids.

[@kathcares]

Sounds like we could all use a Bottom End video game. Biofeedback can be helpful in training our bodies to change our responses. I have been able to use visualization to help with this, but it would be very useful to have feedback to know it's working. I would buy it!

[@AugustineHeaoa]

I'm not surprised it's been happening to me do we have this medicine in Papua New Guinea. thanks doctor.

[@tomm856]

I had a rectal fissure a few years ago and it's awful. I had to stick my butt in front of a gas fire for thee hours after using the toilet because of the pain before realising a hot bath afterwards with lots of salt in it worked just as well. Eventually I went to the doctors and he gave me medication until i had an operation to fix it.

[@hakkima2170]

Are you okay after the operation No recurrence?

[@anniecz8957]

Did the operation work well for you? No other fissure problems after the op?

[@josepacheco887]

Wish he would of answered those questions

[@carolbaughman2412]

Oh My I have asked and asked my Doctor Why? And he says don’t know He made me do test with card said negative every year One year came back Positive made me do another came back Negative Now made me do the one where you mail poop in came back positive told me You got cancer go to Moffett Nope Not happen after a year got letter We not paying for Your treatment? What I Never even went. Then he keeps trying to make me go. Nope Not happening!! But You have helped me understand So much Why I bleed ! So Thank You!!🥰

[@Retread268]

Comment for the algorithm, great videos, very helpful

[@Kidzzzstories125]

WOW another wonderful video

[@dedelabaiblogas6933]

Hello doctor I had some hemmorhoid symptoms for quite a while. I went to a proctologist today. He checked me out and told me that there aren't any signs of any hemmorhoids whatsoever. I have a question. Could a proffesional not detect a hemmorhoid through rectal exam using finger ? Or is it almost impossible to miss it?

[@DrawnSean]

'Someone must have died here but I don't see any bodies'.

[@tophat2115]

pranicura only seems to be available in the USA

[@SarahKwaow]

An in Ghana 🇬🇭 West Africa , how can I get it

[@stevejones7196]

i think i heard him say his cream has his fingerprints in it?? does he recommend using you fingers to apply or a cotton pad??cotton seems more sanitary?

[@mitchilito99]

Dr Chung you actually make learning about my HORRIBLE hemorrhoid fun!! Because of you now I think of my poor anus like it was cartoon character that's being abused by a terrible poop villain! Thank you for that!

[@madamecurious]

Dr. Chung, this is exactly my problem. My doctor ordered a colonoscopy - but I’M SCARED!!! One of my good friends died from complications from a colonoscopy, and now I am so afraid to have it done myself 😥 please let us know how to deal with the fear. I always appreciate your good advice, thank you 💙

[@yourfriendlyproctologist]

It's not easy, especially knowing about your friend. I think having more details from the doctor about what they see on exam and the colonoscopy procedure might make you feel more confident.

[@madamecurious]

@@yourfriendlyproctologist thank you so much for your kind reply! I will take your advice and talk about it with my doctor :)

[@brianharris4275]

Whose in charge of your life or death decisions? Patient should make choices about the treatment. After 3yrs of Experts ordering masks,mandates, shots ,How did that work out? Good for them they all got rich ! We got screwed! Fauci lied ,people died. Listen to Dr Chung he doesnt always order scope. 3000 bucks. Sigmoidoscopy 400 buck?

[@cupcakepatrice8418]

I am so so sorry regarding your best friend! I thought a colonoscopy was just a small procedure to see the inside, how did your friend die?

[@madamecurious]

@@cupcakepatrice8418, thank you for your kind words! We don’t know what exactly happened - her mother was so distraught, she never spoke about what had happened and we didn’t want to pry. Btw, I had the colonoscopy done and all went well!

[@AmalAli-dd9tt]

the dentist gave me anti biotic cause of a root canal infection ..and .fissure happened from the antibiotic clindamycin ..after 8 months still getting worse ..why nobody talks about how dangerous is this medication ...

[@aminach88]

How did clindamycin cause the fissure ? I also took the antibiotic and it gave me constipation..did it happen to you to ?

[@AmalAli-dd9tt]

@@aminach88 hi..it caused fissure by changing the texture of your stools like plastic texture with the weirdest shape and weird texture which causes wounds on the inside when u use the bathroom..lot of people are not aware of this ...i think they should ban this medication

[@Tk30nette]

I like you,Dr. I wish you the best. ❤❤

[@mayac3539]

Can child birth cause chronic fissures if you had a 2nd or 3rd degree tear when giving birth? I had to be sewn up afterwards. It seems like have since then I've had fissures.

[@yourfriendlyproctologist]

Yes, in an indirect way. That trauma can create the death grip!

[@Kai-Malachi]

Is this product available in South Africa 🇿🇦? Thanks

[@aldevmedia9401]

All doctors talk about fissure at 6 or 12 o’clock. Thise at 3 and 9 o’click are much worse!

[@AubreyForever]

I am doing a lot better from having a fissure and an external hemorrhoid. I use Pranicura Cream plus the medication my colon and rectal surgeon prescribed. I think the fissure actually may be healed. As far as the external hemorrhoid, it was large and going down. They say these can disappear, I hope so.

[@d.mehmetduykal7620]

Please mine too 😢

[@d.mehmetduykal7620]

I’m have so much pain now 😢

[@sunworxentertainment8474]

Is that product available in Philippines?

[@Seanwaniwan]

Musta ung sayo po pwede pa tulong naman:(

[@melissaahlersmeyer1221]

Dr. Chung Would you say that it is common in treating fissures to think that you have them healed only to experience bleeding again after a few weeks of none?

[@anniecz8957]

From my own experience, this is exactly how it goes. You’re so happy to see your symptoms and pain are gone only to get to experience the same pain again in some weeks.

[@marcogonzalez8701]

Same goes for me .. I have a break from the bleeding and then boom

[@suzanmiller558]

I’ve noticed that my fissure bleeds more when I’m dehydrated and if I missed my sitz bath.

[@Robert-cs1rk]

You can do botox and prp to fix the issue

[@nikkoramirez2695]

Dr. Can hemorrhoids or fissures a have delay reaction like days later after straining to pass stool twice in a 7 day span then days later your passing lots of blood in stool?

[@jcarlzian]

Exactly happens to me Yeah that's true

[@matthewsmandala9548]

In you explanation you say the chronicity of the Anal Fissures comes in because of poor blood floor in the bottom end. Now why do they bleed profusely during a poop?

[@hunteocampo1]

I had my colonoscopy a year ago today and they Never told me the results and still today im still bleeding on the inside of my colon ... What can i do

[@josephgarcia2979]

If they didn't give you the results, then you need to contact them and request the them. The results will help you understand your situation so that you can figure out what changes in your diet you need to make. I had to stop consuming caffeine because it was dehydrating the stool going through my intestines, and as it exited, the dry stool caused a lesion in the fissures which then bled a bright red color. It will heal, but you need to figure out what is causing your stool to harden so that it doesn't tear the fissures around the anus as it exits. To be blunt, the super-hardened stool is basically "high fiving the walls/lining at the end of the tunnel" so to speak, and scratches or injures the lining as it passes. Good luck!

[@Rookslife]

Thanks Dr Chung. So I have the death grip!! But I don’t bleed. I guess I’m lucky? The most frustrating is when the stool is really soft snd it still burns! You explained it perfectly. In a strange way as long as my stool is not too big. It’s actually more comfortable being a drier stool. If the stool is too moist it seems to burn from the death grip so much more. However it’s always most as I wouldn’t want to risk reopening the delicate heal. Bit of a catch 22. Botox and two rounds of physio and taking duloxetine has not helped to break that death grip. I can only assume there is still a source of irritation being missed. In your expert opinion, is there anything else that may work to get rid of the death grip? Or should I go back to investigations again and make sure nothings been missed again.

[@yourfriendlyproctologist]

It takes a long time to get rid of the death grip! a really good physio and work by yourself is the best start.

[@Rookslife]

@@yourfriendlyproctologist thank you! That has made me feel less disappointed. I did 4.5 months with the first physio and she was really good but even after sessions where she said we did good work it wasn’t enough or it was too painful. I think self work very good aspect I’m missing too. I think it would help me feel in more control.

[@lmontesjr]

Thanks!

[@HGM10]

You are the best Doctor. Cheers

[@juliesheard2122]

The blood doesn't drip, it POURS out when I go to the loo. Doc says stage 3 hemarhoids could it also be a fissure?

[@scherryvalentine9673]

Mine pours too. What is stage 3 about?

[@alisalehinejad549]

Hello Dr Chung, my chronic fissure healed recently, but sometimes I see very small amount of blood on the toilet paper (like a dot). I applied diltiazem gel inside my anus for about 3 months, then I knew I souldn't apply it inside anus. Can diltiazem gel damage anus skin?

[@rubiconoutdoors3492]

When I was at my wifes house In China, they only had the squat toilet. Do you think this 100% squat position is better or worse for pooping ?

[@SuzanMiller-ou5kq]

I think the shape of the toilet seat matters a lot. The old one didn’t make your butt checks spread as much which puts more pressure on the sphincter. I’ve heard squatting is much better.

[@suzannegreen1746]

That's what happens to me all the time I know exactly what you are talking about

[@mukeshbharadwaj4768]

Hey doctor chung I have developed erection problem after my fissure surgery. I also feel spasm/pain in my anus while erection. Can this cause Erectile dysfunction? Because I am suffering from it post surgery..

[@hrishisathe008]

Why is there intermittent bleeding... It's bleeds every alternate day????

[@mikegreer9041]

I've found that wiping opens my fissure more so than a hard stool. Bought a toilet seat bidet for a hundred bucks. Complete game changer, I just blot to dry and perfectly clean. My symptoms are almost completely gone. When I used to wipe clean it would actually hurt all the way into my stomach.

[@davegooden7179]

It works. Yes it does.

[@Abdul-qw8ox]

Will skin tag go away once fissure heals? Can a chronic fissure be cured without surgery? Thank you for giving us strength to fight this battle.

[@keyonnasims7935]

I had a anal fissure last year in September that last till December I still got that dumb skin tag and mines was chronic

[@jay-arbeldia6263]

Skin tag is also the sign of anal fissure?

[@tori3158]

They say skin tags do usually come as a part of an anal fissure. I got mine removed (two tags), but they came back in few months with serious revenge, bigger, stronger, more complicated to deal with : ) (Is known they come back often) The pain... At least for me.. was horrendous.

[@dkazmer2]

So is it 4% of ppl in America or of those who have rectal bleeding?

[@bev8200]

So my bum is chapped

[@jman823833]

Omg reason #2 that’s me

[@user-pz5pz6yl7i]

Is wheatgrass good for anal fissure

[@jay-arbeldia6263]

Hi doc,,skin tags also sign of anal fissure?

[@jkej2029]

I always have anal itching and inflame bottom. Thank god i found you.

[@BarboraVystejnova]

What about pelvic floor treatment by pelvic pelvic floor PT to loosen up muscles? Do you have experience with that?

[@wildanmohamed3524]

I ordered pranicura but a little bit different from on top package my top package is blue ur top sticker is red does have to different

[@wildanmohamed3524]

Pls let me know pls

[@lynnpurfield9430]

I wish we could get Pranicura in UK 😩😩

[@tracymarper9226]

You can order it in the UK

[@someartlife01]

If someone has a deep anal fissure do they need surgery? Or nothing can be done? You bleed a ton and then deal with it.

[@Fisherdanpro23]

I can tell you I bleed soo much that I almost died ended up getting a blood transfusion. I still have the issue. Waiting for insurance to kick in and I’m getting surgery.

[@ferencferenc6849]

I tried pranicura but it didnt heal my fissure unfortunately. I have good diet, I take Miralax, I drink a lot of water, I use bidet, I can relax my muscles but when I have BM my anus feels very tight so I think I have two try LIS after 2 years of suffer... :(

[@saticritatis2503]

same, I've been using pranicura for 4 months and I still have my fissure, bleed today. I noticed that the reviews on the pranicura site are fixed to show only positives but found tons of ppl in the wiki who are still suffering like us.

[@alliet7834]

Im still convinced i have all the cancer 😮😂

[@marcogonzalez8701]

Right 😂

[@professor4867]

There is no bleeding but pain is same as while fissure occured so is it means that fissure become chronic and surgery is the only way to treat this?

[@rachangoudapatilnidoni5058]

Hi I am also facing this isse from 1 month, i dont get blood but some pain after defecation. How is ur situation now ? Are you healed completely without surgery?

[@professor4867]

@@rachangoudapatilnidoni5058 not completely healed but changed many things like Strictly no maida from last 10 months More like warm water Drink water after 1 or 1.5 hr of eating Drink more fibre rich food And after discharge pls use any ointment or cream After that pls take 2 time sitz bath of 10 min. In whole day

[@conniemina6648]

Good evening Dr.i have a grade 4 external hemmorhoids but it doesnt hurt its just d skin is out do i need to do surgery??

[@conniemina6648]

Sir if i do surgery how many days it will heal bcoz i am working as housemaid i dont know if i can handle if it will took long time to heal

[@tinymabasa4717]

​@@conniemina6648 It may take long. People Are different. I done mine 7 weeks ago and it still hurt going to toilet. I developed a fissure, and a possible fistula. I haven't been to work in more than 2 months

[@tinymabasa4717]

I had hemmoroidectomy

[@pedrotheminidashhund6055]

Hopefully Dr Chung earns more than the stupid footballers we have here, although I doubt he earns quarter of a million a week some how 🤔 It's all abit wrong... Thanks for your priceless knowledge 🙏 Mr Cxx

[@yourfriendlyproctologist]

LOL! what's a footballer?

[@pedrotheminidashhund6055]

@@yourfriendlyproctologist soccer player to you doctor! Over paid for kicking a ball around is my point! No knowledge unlike your goodself xx

[@andreasobuaculla9511]

golden donought

[@ClaireCopeland-n6y]

I bleed from my anus after urinating. Had stomach surgery in August. Tell me what is happening

[@anjalia123]

Sir I had fissures since an year and got lis 8 months back. The thing is when I lowered my laxative I saw blood so I went for checkup. Doc examined and told me that exterior is fine and to keep stool soft until tone is back(2 months ago). I’m sick of this laxative and no matter the diet stool is at times hard.. I thought it was because due to scar sphincter is not expanding properly and thus pain and bleed(what can I do about this) Need ur advice regarding this sir

[@Robert-fz1ro]

@Anjali A Pls help my fissure also bleed whenever I have a hard stool and I can't help it even after taking laxatives it's hard from the beginning and blood comes from the fissure I'm so tired of this pls help😭

[@anjalia123]

@@Robert-fz1ro 2 things that helped me…lubricate ur bottom end before bowel movement and soaked chia seeds

[@dog24]

@@anjalia123 hi anjalia...how are you now...healed completely??

[@Tontoying]

Doc, you said that, anal fissures can be cured without LIS, but how could we get rid of the anal skin tags and the associated symptoms, that are created by chronic fissures.

[@yourfriendlyproctologist]

I remove skin tags all the time in the office.

[@tori3158]

What an answer..... skin tags get surgically removed BUT they tend to come back and the pain is horrendous as they leave you with open wounds, push a bunch of gaze into your ass and you go home! And now go to the toilet like that.. go figure.

[@manjumano3862]

Hi docter i have fissure, can i do jogging ?

[@farraelena4570]

I’m in pain but i’m laughing and anus is throbbing 😭

[@JohnMarble-bs8bu]

It's embarrassing, It comes every 4 years, for me,hot chip eatter,wow I can eat hot sauce, but not hot chips. 😮119.

[@suchismitakar2154]

11:15 weakass😂😂😂

[@anthrop7998]

Bro it does feel like a pipeline through my anus 😆😆😆😆😆😆😆😆. Do you think having a hemi makes fissures worse?

[@yourfriendlyproctologist]

LOL! you're right, there is a definite pipeline through our bottom end! You mean a hemicolectomy?