Fissures? - Mothering Forums

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#1 of 5 Old 05-24-2003, 10:18 PM - Thread Starter
 
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Ok, kinda gross topic. I am 3 months post pardum, and have been rectally bleeding for a while (since being preggo.) Have no roids, the doctor checked for that, and she said it possibly was fissures. Are there any special treatments for these, and how long should I let it go before going to see a specialist?? Anyone experience this, please help!!!!
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#2 of 5 Old 05-24-2003, 10:31 PM
 
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Yep.
If they aren't too bad, they'll go in a week or so. You need to take lots of flax seed, eat a lot of fruit, try to keep things..uh.. gentle.

If the bleeding continues there are suppositories.

If that doesn't help you need to go to a gastroenterologist to make sure nothing else is going on.


And once they are gone, you need to continue with the flax, etc.. or they'll come back.
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#3 of 5 Old 05-24-2003, 10:34 PM
 
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Possibly fissures? I wouldn't think a trained doctor would have a hard time giving you a conclusive diagnosis of a fissure. I'm an RN, and I can usually spot a rectal fissure. Do you have pain upon passing stool, or is the bleeding painless? Generally, fissues are very painful when having a BM.

If you do have a fissure, it is very important that you don't pass ANY hard stool for 6-8 weeks. I mean none. That might mean increasing your water intake and fiber intake, taking stool softners, Milk of Magnesia, or mineral oil. Depending on your usual bowel habits, the water and fiber alone may be enough. Or if you are ususally on the constipated side, you may need the meds. The 6-8 week period will give the fissure (or crack in the mucosa) time to heal.

If after doing this for 6-8 weeks you are still having rectal bleeding, I would definately have yourself checked. General surgeons would know what to look for most definately.

Good luck!

lisa

~lisa~mama to 3 boys (1/02, 5/04, 12/06)
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#4 of 5 Old 05-24-2003, 11:53 PM - Thread Starter
 
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Yes, very painful stools!!! Ouch ouch ouch. I've tried the water and fiber, suppositories, etc...Do they take the full 6 weeks to heel? Oh, I should just go to a doctor already.
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#5 of 5 Old 05-25-2003, 07:37 PM
 
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Small fissures may only take a week or two. Deeper ones can take the full 6-8 weeks. I hope I don't sound like a broken record, but even one hard stool passage can re-open the fissure and you'd be starting from scratch again.

If water and fiber/suppositories aren't working then I'd step up to the MOM or mineral oil. 30-60cc's a day/every other day and add more if needed. Obviously you don't want to give yourself diarrhea, but the stool needs to be always very soft.

If if would make you feel better, you might want to see another doctor to verify that indeed you do have a fissure.

Rectal fissures can range from very mild to really really bad. I've taken care of several patients who've had to have rectal surgery (VERY painful!!!!!) due to fissures that they didn't treat properly at home.

Again, good luck!

edited to add: Suppositories are usually worthless when it comes to fissures. The job of a suppository is to produce a BM, not to make the stool softer. Not to mention, just the act of inserting one can sometimes re-open a healing fissure.

~lisa~mama to 3 boys (1/02, 5/04, 12/06)
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