Laser sphincterotomy is best for fissure and spasm For god sake stop putting fingers inside anus for eternity i too suffered for 8 months and finally laser sphincterotomy helped.
Thank you, Dr. Chung for being honest and providing me with the right diagnosis. I went to see Dr. Chung last week. He was kind to give an early appointment. The visit lasted for an hour, and I explained to me my condition, which was not the hemorrhoids but anal spasm . I felt very relieved . However, the pain I was going through was somewhat unbearable . Dr. Chung gave me the right medications and mentioned to see a physical therapist for pelvic floor exercises. It's so worth meeting a good proctogist . Thank you!! Keep up with your videos. 😂
@humausman2823 Hi, Dr. Chung asked for personal health history and allergies. After reading my conditions , he prescribed Tramadol 50 MG for muscle pain and Valium 2 mg for pain. Only take them when the pain is strong. Ibuprofen also helps. I take them with almond milk . Also, Only when I have pain.
I strongly believe that each case is different and to see a doctor is a must. Do never take self medications. I want through hemorrhoids and anal spasms. Don't waste time . Seek for professional help. Peace of mind is peace of body.
I'm a patient of Dr. Chung and I suffer from a chronic fissure. He had me try Diltiazem, which gave enormous relief but did not fully heal my fissure. He never once suggested or pushed Pranicura, but I was curious so I asked him about it. I am now on my second bottle -- it is a life changer. That stuff works! He also recommended pelvic floor physical therapy, which also helps. I like that Dr. Chung does not recommend surgery, unlike other doctors. He listens and "hears" patients and provides them the tools. He's cracked the code when it comes to butt issues. Thank you Dr. Chung!
Pelvic floor physical therapy helped me so much to completely heal my last fissure. Now I’m having a recurrence. CRS says milder than last time. I’m already doing PFPT on myself. One of the things that help me most was realizing that the more I stayed calm and breathed and try not to tighten up around the pain, the faster, things, healed, and the quicker I was out of pain. Pain is in the brain. I highly recommend the book, “the way out” by Alan Gordon. Thanks Doc!
So pleased to hear you discuss Chronic Pelvic Pain.it was the primary reason I discovered your channel a couple of years ago when I thought I had severe hemorrhoids. I have scinced learned from our local proctologist and urologist that neither hemorrhoids or my prostate were the problem -- it has been my tight pelvic floor which has just caused misery and has turned my life upside down. My inability to sit for more than just a few mins has cost me a well paying office job after 25 years and has also significantly impacted my social life as it is impossible to do simple things like travel in a plane, car, or train or even go out for dinner or a movie. I certainly welcome any advice you or your viewers can offer to make the pain more tolerable.
Thanks for the excersizes, I’ve been doing them for several months but the relief is only temporary, I call it a golf ball up my ass pain syndrome, dealing with it for 6 months since a uti infection. My life is and has been in Turmoil. I’ve become totally convinced it is a mind body disorder, the late Dr. Sarno has written many books about the cause of the pain. A lot of RU-vid info about it also. Everyone should educate themselves about this disorder causing pain across the body. Jm $.02.
i may need to do this because while my flare up down there is sometimes low and mild, it's still very annoying to deal with because it would last for hours and would happen once a week. now ive lead a life of being seated for the last 2 years, dealing with constant aggravated stress and somewhat straining myself when using the bathroom (not constipated but i push more than i should to finish up quick and i should just let my body naturally go on it's own without i helping to push) and eversince i started to control all of that, i haven't had a single episode for over a week yet i can feel sometimes that it wants to start up again lol. im exercising now, managing my stress and not straining myself when using the bathroom and these exercises mentioned in the video is something i may have to do as well to really keep it under control. never noticed i was subconciously clenching my pelvic muscles from the stress. this sort of condition no matter where the pain is at down there, can really mess up your day when it flares up. 😔
I have this problem. I started taking magnesium glycinate. It helps me feel more relaxed. I also take B12 drops and B1. I am going to try and add B complex soon. I have good weeks then bad to not so good. Looking at help videos
@@marypolk9820 well some of the self help vids for this actually did help. takes time but be patient, it will go away eventually. i haven't had any episodes for months now, sometimes i feel it may come back but eat more good stuff and less bad ya know? be well!
Thank you DR. Chung this was very important information to me exactly the information I needed to know . I am dealing with anal stenosis from my first hemorrhoidectomy surgery. This is very helpful thank you
Thank you doctor 🙏 I just had my Hemorrhoid removal surgery here in Saudi , your advises were like a diamond to me and helped me a lot, I got harsh instructions from my doctor despite its well reputation hospital I were in ,abut since I found your channels and it helped me in my recovery very well, specialty the low fibre diet !! I wish your videos are supported with pictures ,pp slides or plastic model . Thank you again and I really wish u success and sending my prayers for you doctor Chang ❤ Ur friendly Egyptian friend 🥰
Hello Dr. i am 23 turning 24 in a few weeks. I have been looking through all the comments going crazy trying to figure out my best option. I live in Hawaii & we aren’t known for the best doctors… To keep a long story short.. I have been dealing with severe stomach pain & stage 4 hemorrhoids for just about 3 years now. Ended up in the ER at 4.7 hemoglobin & flown to another island in order to get enough blood back into my system. Developed really bad anemia to the point where i need 1,000mlg of iron every month. Everything I eat angers my BM, so it just resulted in not eating or avoiding it all together. It took my life over to the point where I can’t work, eat or go outside… I’ve been seeing multiple doctors. Gotten multiple opinions/suggestions. Ran multiple tests which some required money out of my own pocket to get to (outer islands) my insurance definitely helps but idk how much longer I’ll have it since I can’t seem to get to work. I am currently 20hrs into my clear liquid diet whilst I clear out my system for a second colonoscopy. I’ve almost given up. Don’t feel like I’m being helped. Feels like every doctor I see only has an opinion & no solutions. I’ve seen things on laser removal of hemorrhoids. This is my next talking point when back in the hospital.
Wow Dr. Chung, you were on point abt the Biofeedback Therapy.. thats exactly what my therapist have done and told me to do and it helps a lot.. If you want to save money for not going to Physical Therapy, listen to all the instructions that Dr. Chung said, ita exactly the same ... Buy Pelvic Wand and do the stretches yourself cus youll be able to tell how tight ur pelvic floor muacle down there 👌🏽👌🏽👌🏽👌🏽
Thank you for addressing this DR Chung. For the females among us I go to a female special physical therapist, she specifically gives therapy for the pelvic floor. She does a before and after the therapy. She uses vagina to reach my pelvic floor. There are also specifically curved wands you can use. She doesn't use my rectum because I have TENESMUS and so if she would use that to do pelvic floor therapy it would be to pain and uncomfortable because I would get a constant urge to use the toilet.
Thank you Dr. C for a simple explanation of pelvic floor therapy……and an important series of thoughts about getting to know our own bottom end. 😊 Can I just add a thought? …we can absolutely do this for ourselves and let go of the standard…go to a real doctor/ therapist thinking. It IS OKAY to just let go of our crazy lives, and relax. Thank you 😊
Hi I am from Bangladesh. I m suffering from chronic fissure. Dr suggest me surgery but I don't want to do. Ur video gives me a lot of hope. I wish I could consult with you...
Sir, kindly arrange someone who can dub your video in Hindi language as in India approx 60 to 70% people suffering from these problem but one one doctor here gives detailed explained information about these problem and solutions, Hindi language is required as mostly people understand Hindi only
Thank you Dr. Chung. I have struggled with IBSC my entire life, and have hypertonic PF. I have been going to PT for almost a year now. I’m in so much pain for days after. I am using Valium suppositories for the spasms. I can only sit for about and hour before the pain hit. Strange thing is. I have now gotten bowel incontinence right after I eat. Hell, I afraid to eat now. The gastro I seen for less than five minutes just told me I have ibsc and gave me a med linzest. I’m so frustrated.
I have that same problem. Sorry you had the same type of experience I had with dr. So sad the lack of knowing from Drs the pain they add to our experience of life. I started taking magnesium glycinate for the stress. It helps my body relax. I have to also have B12 and B1. Keep watching videos. I do.
Thanks for the information doc, hopefully it helps my pain right now doc, I'll feel pain in a 1 week until now and it getting harder. I will do your tips doc, I will update here for na progress, thanks doc
I can do a finger but never anything more. Does not really end up helping. Feels like I'd have to do this every day for a full year to have any result.
Hi Dr Chung! I've been a grateful follower of your channel ever since I stumbled upon it. One question - can yoga standing stretches worsen hemorrhoids?
Dr Chang In which link I can see your all Vidios? Can I disturbe you by email to ask few advices respecting your time. In which email address can I writte to you. Thnks.
HI, came across this video and it seems to be worth a try. No mention made though of a lubrciant / pain relief cream to be used when performing the exercises or is that the pranicura 5?
It would nice to see a proctologist. I am 60 years old and have never had a colonoscopy. The prices for getting the things you need are too high. I can’t afford them. I suppose that if I am to die of cancer, there’s really nothing I can do about it. Maybe someday, it will be cheap enough that everyone in my family can get one.
Hi Dr. I've suffered with hemorrhoids and a fissure for awhile & the doctor gave me hydrocortizone creme. I'm interested in the video you did on using your finger to get the stool out--it was part of another segment. Please tell me where I can find it again. Thank you! Your videos are wonderful.
I agree with many that your animated video is very cheerful, however, a bit repetitive to get to a point. If you had taken less time with repetition, you may have had enough time to explain what Kegel is and the best way to do it for men. Subsequently, I did search it, but I would have preferred to compare what I found to your practice of the exercise.
Doctor, what is the difference between Pranicura II and Pranicuara 5? Did the ingredients change? I currently have a bottle of the II and it burns using it for my fissure issues.
Hi been suffering with hemorrhoids for 5 months had a pelvic strain and had a lot of burning in vagina and anus and a golfball feeling in my site bone.Finally referred to gynecologist she said that it must be pudendal nerve and said take gabapentin which turned out to be poison for me. Then said pelvic floor therapy and as a last resort injections.Have been going for 10 visits the sites bone feel better and I do all the exercises I am doing what can I do sitz baths use creams for hemorrhoids they get better then flare up. PT has been doing some therapy both with anus and vagina.Always feels achy afterwards.I have been taking advil and ibuprofen.
This was simply unthinkable to me butt if I don’t feel better tomorrow I’m almost ready to try it. I’m day 8 after THD been completely miserable since gotta think on it tho
Thanks for your channel. I have a question one week after hemorrhoid banding if you use the bathroom and it’s a little hard and you have Pain that day is that normal
Hola Dr always enjoy your videos. Would yiu recommend the exercises in the vidio or other exercises for someone that has had LIS procedure to help relax or strengthen the internal and external muscles? Gracias, Eric
I had a thrombosed external hemorrhoid removed one month ago. Would Pranicura cream and the finger exercises be good choices for me to utilize in this recovery period?
@@yourfriendlyproctologist Thank you, would you mind reading my other comment? I'm at a loss and I would greatly appreciate your input... :( 2 months ago I tried some anal play. I bought a small buttplug. There was no problem going in (lots of lube, going slow, breathing correctly), but after having it inside me for a few minutes and orgasming while it was inside me, it started burning and itching a lot, so I tried to get it out. However at that point I was SO TENSE that I struggled to pull it out and when I did, it burned and stung like hell. My bum was sore for the entire day afterwards and since then I've been having burning/sharp pain during BM (I'm totally fine during the day otherwise). I visited 2 greatly reviewed proctologists and they said I only have some grade 2 and 3 internal hemorrhoids and no fissure at all. I don't bleed during BM ever. Could it be that my muscles in the anus are so tense that when the stool passes through, it stings and burns because the stool is trying to expand the muscles which have some sort of PTSD from my anal play? I've been trying to gently massage my anus inside with my finger past days and it seems to be much more relaxed now but like 2-3 cm in, there's a spot where it still stings quite a bit when I put the finger there... I appreciate any input!
Do you have any info on loose skin on anus from hemorrhoid? Seems rather long lasting after hemorrhoid has subsided. It’s fine until you use the restroom then the extra skin presents making using bath tissue difficult. /not skin tags
I have a first appointment with a PFPT coming up. Not covered by insurance, $250/visit. They want to meet twice a week!! Is this normal!? As much as I really want/need to go, I may end up cancelling.
LADIES, do some research on using your thumb to support your vaginal wall. Very helpful in rectocele (that a large percentage of us have) and emptying the bowel efficiently. Also, it lessens the amount of exctements coming through the anus at the same time. I swear this is what turned my deep anal fissure around. Oh, and keeping stool soft and pooing crouching over a bucket with a plastic bag in helped immensly too. The last thing I did was seeing a physical therapist to diagnose and strenghten my pelvic floor. You CAN do this!
I never hear you talk about pudendal neuralgia .........I think it is easily misdiagnosed .....went to a CR surgeon, GI , PCP, OB/GYN to find out why I had anal burning and nobody "saw" anything or suggested it might be a nerve problem...finally saw a pelvic floor specialist who dx me with PN.........what are your thoughts about this problem in relation to tight pelvic floor and also can one over lap the other? ie fissure irritate PN ?
Hi from NZ Dr Chung. I had Botox and curettage in an 8 year old anal fissure. Went well for 4 weeks, the internal muscle is healing well, however, the external sphincter is worse than ever and not healing at all. What could be causing this?
You mention finger being 3 cm in length - isn’t the average finger longer than that? How far up is it safe to put your finger? If you start to use the middle finger how far?
I have a question Dr. I don’t know if you want to answer. After pooing and wiping my butt with toilet paper I wash my butt with soap and I inserted my finger with soap in it but not far. Is it ok to insert my finger more deeply with soap. I feel totally clean if wash it thoroughly
Hello, I have a request for a video or I'm just wondering if you've treated this in the past. I get ulcers in my mouth, rectum, anus and genitals, I originally thought it was a hemorrhoid but now I realize I'm dealing with something slightly different. Do you know of a good over the counter treatment or prescription that can help with the pain? Also I'm allergic to hydrocortisone. Thank you in advance!
Doctor I went through a fistula surgery nearly 3 months back and since then I have had terrible constipation, recently the constipation is fine as I am taking psyllium husk and medicines but every now and then I feel sudden throbbing in my anus as if something is slipping down and constant pressure too and an urge to poop all the time when I look at my anus and click a photograph when I have this slipping feeling I can see small poop particles , can it be I am suffering from incontinence?? Kindly guide me I am quite tensed and on depression medications too(escitalopram)
My PFPT said not to because it would do something to my spinchter. I was thinking, yeah I need to ask Dr. Chung! Figured it was fine. Thanks for answering! We all appreciate you so much and wish you all the best!
My PFPT did Trans tibial stimulation with tens unit for fissure. Only a couple times. Also showed me breathing etc toileting merhods. Another PFPT had my do stretching of anus. It helped. I got the wand but was not comfortable using it. Got tight again,,tried to do the work with my finger and it made me bleed. Do I still do it when my fissure, hemms are bleeding? With that Being said I was able to feel an ano rectal intussusception on myself and had it verified by CRS. Thankfully I did or it may have been missed! Glad it was suggested I do the finger work. Oh and is ok to do the stretching etc on toilet?
Hi How many times a day and how long 10 minutes?? and for how many months continue this process??? I am Suffering with anal stenosis and fisure again n again😢doctor advice me anal dilator but i think finger is best option Need ur kind advice
Well I had fissure I tried to take more fibres in food and get some hot sitz bath ... avoided heavy food and used lidocaine cream before bowel movement and after bowel movement I took sitz bath with anti septic liquid 3 times a day... And yess nifedipine ointment twice a day .... And now I stopped taking laxatives and having some ayurvedic treatment like taking zandu pancharist and it worked well for my digestion...❤ Peace ✌️
I've seen anal stretching by a surgeon using fingers on a patient under G.A. It was probably a severe case. At the other extreme some people do fisting which would be harmful in the long run, but it at least shows how stretchable the sphincter muscles can be.😊
When i go poop , after the final stool have passed. My anus gets very tighten on its own and after that blood comes out . Like from a very tiny hole . But i feel no pain or itchyness . After pooping or through out the day . It happend 2 months ago for the first time and i was scared . But after 2 or 4 days it stopped happening and now it happening again. Everyday. Can i cure it at home ? And how.
Laser sphincterotomy is best for fissure and spasm For god sake stop putting fingers inside anus for eternity i too suffered for 8 months and finally laser sphincterotomy helped.
@@sakinam8209 I know many individuals with 10 years after laser all doing fine. As far as relapse is concerned it can happen to even healthy individuals with episodes of constipation and diarrhea.
I had three anal surgeries. anal surgery provides temporary relief but symptoms usually come back, the scar tissue from surgery causes anal stenosis which worsens hemorrhoids or fissures in the long run. Try to avoid surgery as much as possible.
@@paulalee9884 bad luck ur surgeon was inexperienced Friends and family members underwent surgery all doing fine after 6 years of surgery Always choose a very experienced surgeon of ur city
