Sounds like an anal fissure. They are extremely painful. Sitz baths are the first treatment, then vasodilating creams, like nitroglycerine or diltiazem.

Jan

wow i get the same thing from time to time at night gone in morning..was hoping my diet of late would eliminate it..very painful when it happens..what is this thing fissure?

anyone explain why it happens at night only then goes away next day..?so i gather if fissure you can not do much about it or prevent?what exactly is fissure?

I often have the same experience of evening burning/itching and sometimes it feels like crushed glass, etc.

Any ideas other than a fissure? I've had 3 sigmoidoscopy tests since March and my doctor hasn't seen a fissure(s) although it may be too small to see.

I recently had a scope done in December and my Dr. Told me I had a bacterial infection. That was causing a lot fissures and internal hemorrhoids.He put me on antibiotics for 2 weeks and everything cleared up and my pouch no longer has runny burning stools. I feel so much better now.

Interesting. Yes, feeling of crushed glass describes it perfectly.

Might i ask which antibiotics u took for those 2 weeks? It must have been written in another thread, but can anyone recommend a name of antibiotics as ive already tried alternating azithromycin and ciprofloxacin.(i wont put any responsibility on the recommender ofc, all at my own risk)

Dort, fissures are best diagnosed by naked eye examination, NOT scopes. The scope quickly slips through the anal canal and lesions there are often missed by scope inspection. So, do not assume that there is nothing to see just because it was not seen on scope. Scoping can even reopen a healing fissure!

Fissures are often diagnosed by description of the symptoms alone.

Jan

rashad..you can take any number of antibiotics,tindermax,amoxicillian,levaquin
keflex..

dort have you considered sibo..bacteria overgrowth..antibiotics control was on them 7 years now dr. shen wants me to follow no starchy carb diet,low sugar..i have had all the above issues cut glass feeling,extreme pain when going in rectum,frequency..for the most part the diet seems to be working i have been off antibiotics for first time in 7 years..but i think perhaps i also get anal fissures as described by some others and jan because it will come on at night and last until next day..i think i might have been getting fissures because of the sibo..have been using sitz baths and lomitol to slow down output when i have it...qand dr. shen in past recommended hemoriodal cream to insert when i had burning or itching..

i am thinking if the diet keeps working maybe the fissures will be less often or go away..following scd diet which allows fruit as my only real sugar..might have to back off the amount of fruit i eat however as i think i have too many..

I was recently diagnosed with a fissure and you pretty much described my symptoms. I've probably had them before, but never gave a good description to the doctor. They were missed during scopes because, as pointed out by Jan, scopes don't see them. This time it was easily spotted by the doctor because a sentinel pile had formed. What's a sentinel pile? This site has a description: http://www.gihealth.com/html/e...ion/analFissure.html

Before I could make it to the doctor I was getting relief and some improvement with sitz baths, moist towelettes, and either calmoseptine or preparation H. This was the first time I had used preparation H and it was surprisingly effective at giving relief. My doctor prescribed diltiazem. I've added that to the regimen and its slowly getting better.