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Everytime I have a BM, the pain is excruciating.  It feels like I'm ripping my anus open. Passing gas is even painful.

Here is a list of things I have tried.

Sitz bath with Epson salt 3 times a day.

Triple paste, preparation H. Ointment and wipes.

Lidocaine ointments

I have a bidet so I don't over wipe. Also, I use wipes.

I'm at wits end. When I feel like I need to have a BM, I about cry because I know it's going to be so painful. It doesn't stop when I'm finish using the bathroom.  It will hurt for at least 15 minutes afterwards. It feels like I'm having spasms. It will ease off and then start up again.  I've contacted my GI. I see her next week but right now, I'm miserable.

Any advice will be greatly greatly appreciated.

Ronda

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I have had pain (paired with the crying) like what what you're describing, and I think it was a fissure or a thrombosed hemorrhoid.  It did go away and I didn't go to the doc for it.  I tried sitz baths and all sorts of ointments.  Nothing worked except time and being very careful not to make it worse when pooping: I would try not to push or get the pooping over with quickly (even though I wanted to). Putting an icepack on my bum helped a little. I'll be interested to hear what your doctor says it it.  I'm sure it could be other things too. Maybe I was wrong about my diagnosis.

I'm sorry you're having to go through this.

The reason why I thought it was a thrombosed hemorrhoid is when I was trying to figure out what the trouble was, I looked at my anus in a mirror, there was a dark red almost black thing just inside it.  I think that was the hemorrhoid all filled with blood.  Those can be extremely painful, I have read, so I assumed it was that.  Now that think back on it a little more, the ice pack helped quite a bit with the pain and swelling.  I recommend trying that.

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