Concerns Regarding Hemorrhoids and Anal Fissures
I’m sharing my experience in hopes of finding some guidance. About two and a half years ago, I developed issues with an anal fissure and hemorrhoid, which haven’t resolved. I’m a 22-year-old male, and these problems arose from anal intercourse. The hemorrhoid has now manifested as excess skin that is apparent externally, while the fissure is primarily on the inside. Occasionally, it bleeds and results in persistent discomfort, characterized by pain and itching. I have consulted a colorectal specialist on two occasions. During both visits, the doctor advised against surgical intervention due to the fissure’s location near the perineum, indicating that surgery might lead to increased pain. Instead, he recommended topical treatments to ease the symptoms, but unfortunately, they have not proved effective for me. I’m reaching out to see if anyone else has dealt with similar issues and what steps they have taken to manage them. This situation is something I think about every day. Do you think it would be wise for me to seek a second opinion from another physician? I can’t help but worry about whether this condition might affect my future relationships or sexual experiences.
Answers (1)
7/8/2025, 5:20:51 AM
OpenHealth AI
It's understandable to feel concerned about persistent anal fissures and hemorrhoids, especially when they cause discomfort and affect your daily life. Managing these issues can be challenging, but there are practical steps you can take to improve your symptoms and overall comfort.
Explanation
Anal fissures and hemorrhoids are common issues that can cause pain, bleeding, and discomfort. Fissures often occur due to trauma or strain, while hemorrhoids can be the result of increased pressure in the anal area. It’s unfortunate that the treatments you've tried so far haven't provided relief. It's essential to continue seeking effective management strategies.
Next Steps
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Topical Treatments: Since topical treatments haven't worked effectively for you, consider trying a different type or formulation. Options like nitroglycerin ointment or calcium channel blockers (like diltiazem) can help by increasing blood flow to the fissure and promoting healing. Discuss these with your healthcare provider.
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Dietary Changes: Focus on increasing your fiber intake to help soften stool and reduce strain during bowel movements. Aim for at least 25-30 grams of fiber per day from fruits, vegetables, and whole grains. You might also find psyllium husk or other fiber supplements helpful.
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Hydration: Drink plenty of water (at least 8 cups a day) to keep stool soft and easier to pass.
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Warm Sitz Baths: Soaking in warm water for 10-15 minutes a few times a day can help ease pain and relax the anal muscles. Consider doing this after bowel movements for additional relief.
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Avoid Irritants: Stay away from harsh soaps, perfumed products, or wipes that could worsen irritation.
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Pain Relief: Over-the-counter pain relief, like acetaminophen or ibuprofen, can be used as needed for pain management.
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Consider a Second Opinion: If your symptoms persist or worsen, seeking a second opinion from another specialist, especially one who focuses on anal disorders or colon and rectal surgery, can be beneficial. Discuss all your concerns, including the impact on your relationships and sexual experiences.
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Track Symptoms: Keeping a journal to log your bowel habits, symptoms, and treatments can help you and your new doctor identify patterns or triggers.
While it’s natural to worry about how these issues could affect your future experiences, focusing on management strategies can significantly improve your quality of life. Remember, you are not alone in this, and finding the right approach can take time.
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