Anal Fissure??

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Hello lovely people

I am now 3 and a bit weeks post treatment and I think things are generally going well. I've got my energy back and am managing to do most things as I was before. Healing has gone well generally except the anal sphincter.

Everytime I have a BM I feel a feeling intense pain on one side, it feels like split skin opening up. The pain passes relatively quickly afterwards if I bathe it in warm water or aim the shower at it. I can feel what seems like a split in the skin, I haven't been brave enough to look in the mirror yet!

I have been using Sudocrem on it and it only hurts when having a BM or when I apply cream, when it stings briefly.

I am wondering if anyone else has experienced this. I suppose the skin becomes ultra sensitive during treatment so splitting may occur. I have been using one Movicol sachet every night to ensure I don't get constipated.

I don't have anymore face to face appointments with anyone until 8 October and I wondered if I should contact my GP to ask about any creams that may be available, although they may well say to contact my MacMillan nurse 

Thoughts welcome and many thanks, Jo x

  • Hi  

    Well done on your recovery it sounds like you are doing well. The only cream I know about for when the skin is broken is flaminal forte. Im coming up nearly 11 months post and while its not the same as you i sometimes get blood when wiping if ive been using toilet paper instead of water wipes, my oncologist said its because the skin is really sensitive from the radiotherapy and to make sure I moisturised all round that area. Don't know if that's any help or not. Sending hugs. Xx

  • Hello  

    Your treatment is really recent and my own experience was that the skin inside the anal canal and rectum takes much longer to heal than the external skin.  You can't exactly stop the traffic whilst you heal internally and new skin takes time to form.  My oncologist prescribed Instillagel but I had so lost so much skin it was agony to put on.  Then I read the instructions; 'do not use if the moist lining of the application site is damaged or bleeding' no wonder it hurt! 

    Bungle1 is right, the flaminal Forte cream can be used with wet sores but this cream doesn't come with an syringe so I am really not sure how you could apply it internally.

    It would be a good idea to contact your MacMillan nurse first; you will probably get help and a quicker response than going through a busy GP, when I contacted my nurse, I would sometimes have a new prescription the same day  

    Best of luck in getting some relief

    Irene xx

  • Hi  , 

    It sounds on the whole that your recovery is going really well!

    I would often bleed a bit following a BM especially in the early days & both my oncologist & surgeon both said it was a possibility that I had a small fissure or that my skin was splitting a little, they said it would improve with time & it did. The radiotherapy makes the internal & external skin really fragile & it brings all of the tiny blood vessels to the surface of the skin, it really is the gift that keeps on giving! 

    Hopefully things will begin to settle down soon. 

    Nicola 

  • Hello 

    Contact your oncology nurse, they give good advice.  Take care and hope you feel more comfortable soon.  

  • Thank you everyone for your help, the pain is more on the very junction between the inside and the outside in one specific place, this is why I think it is a split in the tissue that keeps re splitting each time. I haven't seen any blood but the scratchy horrid pain is there when doing a BM and it passes relatively quickly after if I soak in warm water.

    I'm probably being impatient, I guess I was hoping to be able to use the toilet relatively normally by now rather than relying on a bucket in the shower or the sitz bath. Patience has never been my strong point though!!