Is it unrealistic to think fissure will heal?

JulieB71Member

Almost certain I have a fissure from the symptoms I am experiencing. Sharp razor like pain when going and blood when wiping. How much success have any of you had with fissures healing? And if so what can speed up the process. It has started to control my life...can't seem to enjoy anything from the discomfort. My husband and I are on vacation this week and wished I could say I was looking forward to being off work but the only enjoyment I see is being able to lay on couch more. Is it unrealistic to think the fissure will ever heal since we jpouchers go so many times a day?

7/19/1411:21 AM

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PluotMember

I had a small fissure and it healed. I went back to a completely low residue diet (no veggies at all, only bananas for fruit, no nuts/beans/seeds, no whole wheat, etc), used a bidet at home and wet wipes when out and about, used ointment after every bowel movement, and generally went out of my way to treat the area gently. I don't know exactly when it healed but it definitely did as it doesn't bother me anymore.

7/19/142:00 PM

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Pouch4WfMember

There are ointments that can be prescribed that contain Nifedipines that work very well for fissures. The drug relaxes the tissue and allows healing. Anything else will just mask the symptoms.

Dan

7/19/146:10 PM

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hichikMember

It'll go away - don't eat stuff that creates a lot of juices -my advice would be different to Liz's 'cause I've always found my fissures are better with soft fiber such as oatmeal. whole rice, whole bread etc. not corn or beans or that stuff that comes out like it goes in... the blended foods are best, but fibrous foods that are mashed well, like mashed potatoes, or well cooked veggies, yams, pumpkins etc.
It will go away though... It's the fistulas that come and stay....
Good Luck!
Tami

7/20/148:03 AM

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JulieB71Member

Thanks for all the feed back. I see my CRS Monday...I will ask him about the Nifedipine. I never have had a Gastroenterologist. Do any of you have an opinion about the difference in the knowledge of a CRS verses that of a Gastroenterologist in treating conditions that arise with us poachers? Have been wondering for a while if I should have one.

7/20/141:17 PM

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Pouch4WfMember

Most Surgeons follow-up with their patients for at least a year. After that, the care, including things like pouchitis, fissures, pouch-scopes, can be handled by an experienced GI. Our GI has many patients with pouches and feels very comfortable.

Remember, surgeons will always look at things from a surgical perspective first. In this case, they may first rule out surgery, then give less credence to the "medical" side of treatment.

GI's will do everything medical possible before sending to a surgeon for consult.

Dan

7/20/143:43 PM

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