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Question: Chronic Anal Fissure - no pain, slight discharge and itching

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Chandler
Posts: 8

Hi Dr. Chris,

I am male (30 years old) and have had a chronic anal fissure for 8 years. I have never had any pain associated with it. At most, there was slight bleeding upon wiping after a bowel movement or if I strained hard, fresh blood dripping from the fissure. It also went away and returned like a bad relationship.

Three months ago, I began to experience, for the first time, clear/yellowish discharge from the fissure which is causing my anal area to be moist and itchy. It is odorless. After a visit with the Colorectal  MD, I was told that the skin around the anus and inside the rectum looked fine (she used some sort of scope to look inside) and the discharge was likely coming from the fissure.

Can the superbalm help with the itching and the discharge? Also, I have read that using a q-tip applicator is best to get it into the rectum but wouldn't the superbalm simply rub off on the outer rim of the anus upon insertion? Lastly, in addition to the q-tip application, should the superbalm also be applied to the outer rim of the anus with my finger where the itching is coming from?

Thanks,
Chandler

Posted: 30-Jun-2012 07:13 AM | Reply
 
Chandler
Posts: 8

I've decided to document my usage of the Superbalm on this thread as well so here goes. If anyone has any recommendations or comments, please let me know.

I began using Superbalm yesterday and applied it twice - once in the afternoon and once before bedtime. I used my finger to get it into the anus just slightly past the edge and also rubbed some of the superbalm around the outer rim of my anus. The amount I used was about half the size of a dime.

I also noticed some read itchy bumps that showed up a week ago in my butt crack so I applied just a tad to that itchy area as well.

Applying the Superbalm to the fissure and anal area gave me a sensation of some heat - I wouldn't say that it was irritating. It definitely soothed the itch but several hours later, the itch would return - especially when sleeping.

Also, I'm not sure if it's the cream or the slight discharge that I've been recently experiencing, but several hours after the Superbalm is applied, it gets quite moist down there. This leaves me with wanting to use moistened wipes to clean the area and reapply the Superbalm which I have done; therefore, I've applied the Superbalm 4 times daily just about. Not sure if I should leave it moist down there but I do experience "break through" itching after a little while after application of the Superbalm. Hard not to scratch it - I can only think to clean the area and reapply.

Posted: 02-Jul-2012 04:50 AM | Reply
 
Chandler
Posts: 8

To those following my thread, Dr. Chris responded to me via e-mail since it was how I originally began my correspondences with him. Here were my inquiries and his responses:

Me: “I have had a chronic anal fissure for over 7 years now but I have never experienced any pain - just some slight bleeding on the toilet paper. 6 months ago, I began experiencing much more itching and some discharge as I go about my day. My doc looked at the fissure and said it appeared to be healing but it has never quite healed thoroughly. My question is, can your product help my chronic fissure considering it's been there for so many years and relieve the itching and discharge? Thanks.”

Dr. Chris: “Yes, it can, and it often does heal chronic fissures when nothing else works. Because it is our "strongest" wheatgrass product, I routinely recommend Superbalm for fissure, both acute and chronic. Apply a little on a cotton bud/Q-tip (2 matchhead size) just inside the anal opening twice daily if you can, and try to persevere with it as responses can vary quite a lot. You may find it easier to apply while lying on your side. “

Kind regards,
Dr. Chris Reynolds. M.B.,B.S.

 

Me: “Two questions if I may: 1) Why use a q-tip for application? I suspect that if I use a q-tip to insert it into the anal canal, the balm will rub off on the outside of the anus anyways as I go to insert it. Is there anything wrong with using a finger? 2) My fissure is on the rim of my anus, near the opening, as the MD clearly saw it upon examination. Do I still need to get the balm inside the anus? Or can I put just a smidgen on the outer rim of my anus where the fissure is? Thanks.”

Dr. Chris: “There's nothing wrong with using a finger, but just use a small amount. Wheatgrass has more of a catalytic effect than being dose-related. I recommend a Q-tip for hygienic reasons and because the length of the tip is deep enough for treatment. Many people think that fissures are quite deep when they are usually quite superficial.”

Kind regards,
Dr. Chris Reynolds

 

Me: “I'm not sure if it's the cream or the slight discharge that I've been recently experiencing, but several hours after the Superbalm is applied, it gets quite moist down there. This leaves me with wanting to use moistened wipes to clean the area and reapply the Superbalm which I have done; therefore, I've applied the Superbalm 4 times daily just about. Not sure if I should leave it moist down there but I do experience "break through" itching several hours after my initial application of the Superbalm. Hard not to scratch it - I can only think to clean the area and reapply. Thoughts?”

Dr. Chris: “Because the wheatgrass extract in Superbalm is absorbed on contact, you don’t need to re-apply it. Just use it once a day and try to persevere. You may also find combining the balm with a little steroid cream could help the itch. Usually “cure” comes down to perseverance with the balm.

Good luck, and let me know if I can be of further assistance.

Kind regards,
Dr. Chris.

 

 

 

Posted: 02-Jul-2012 12:39 PM | Reply
 
Dr. Chris
Posts: 111

Thank you for posting your experiences. I sincerely hope wheatgrass helps improve your quality of life in due course as it has done for many other sufferers of fissure.

Kind regards,

Dr. Chris Reynolds.

Posted: 03-Jul-2012 08:35 PM | Reply
 
Chandler
Posts: 8

Hi All,

Only been a couple days but I've been applying the Superbalm twice daily and will post improvements or set backs if any on a week to week basis. Again, I have no pain - just a lot of itchiness and some minor anal discharge, clear odorless. I am hoping that the wheatgrass will help cure the itchiness. I try really hard not to scratch but it's tough - especially after a bowel movement!

Posted: 03-Jul-2012 09:38 PM | Reply
 
Chandler
Posts: 8
Dr. Chris,

Out of desperation for relief, I also purchased this product after reading some positive reviews. I am however reluctant to use it after reading your opinions about using "cold" as a treatment for inflammation. This is the product: http://anurex.com

I have began wheatgrass treatment and have held off on using Anurex to see if Whatgrass can help me first. Do you have an opinion about this product? It is also recommended by a famous colon and rectum clinic in Canada called the Rudd Clinic.

Thanks for any insight you can offer.

 

Posted: 03-Jul-2012 09:46 PM | Reply
 
Dr. Chris
Posts: 111
Providing there are no adverse effects, I take no issue with any therapy that is likely to help a patient's condition improve. No one has a monopoly on the treatment of hemorrhoids, anal fissure or other localised conditions. Anurex is a type of cryotherapy that is supposed to reduce the blood supply to the affected area such as a hemorrhoid and is supported by clinical trials. This is quite different to applying ice to a soft tissue injury such as a pulled muscle where cooling can reduce levels of "healing" growth factors such as IGF-1.

Kind regards,

Dr. Chris Reynolds.

Posted: 03-Jul-2012 10:05 PM | Reply
 
Chandler
Posts: 8

Dr. Chris,

If my issue is not fissure related, but instead hemorrhoid related, should the Superbalm still help? I'm beginning to feel like the itching and discharge is a results of some mild hemorrhoids I might have.

 

Thanks.

Posted: 04-Jul-2012 03:34 PM | Reply
 
Dr. Chris
Posts: 111

I can't really comment until you've confirmed your suspicions with your doctor.

Kind regards,

Dr. Chris Reynolds.

Posted: 05-Jul-2012 10:52 PM | Reply
 
Chandler
Posts: 8

Dr. Chris,

I guess what I was really trying to ask was, "Will Superbalm help internal hemorrhoids? If yes, how so?"

Thanks!

Posted: 06-Jul-2012 03:08 AM | Reply
 
Dr. Chris
Posts: 111

Wheatgrass can help by reducing inflammation, pain and bleeding, but you need to persevere.

Kind regards,

Dr. Chris Reynolds.

Posted: 06-Jul-2012 11:01 AM | Reply
 
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