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Diet for rectal fissures treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Diet Plans
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   how can i help you
User :   Hi
User :   I have been battling a rectal fissure for about 9-10 months now and a few times along the way it had appeared to almost heal after agressive home treatment
User :   but I had a sigmoidoscopy a few weeks ago that seemed to reinjure it esppecially from the prep
User :   during the sigmoidoscopy the dr. diagnosed me with piles
User :   and I had an external lump that appears during BM since the procedure, but I went back due to the pain and bleeding a few days ago
User :   and he said that I do not have piles that all this was from a fissure
User :   that he could now clearly see
Doctor :   ok
User :   so I have started taking 2 warm baths a day and using hydrocortizone foam twice a day as well
User :   still avoiding most meat for now
Doctor :   ok
User :   he recommend I have an appointment with a surgeon
User :   because i may need an injection
Doctor :   ok
User :   I have a few questions.
Doctor :   proceed
User :   I have changed my diet so severely that I am loosing lots of weight
User :   I feel I need to gain about 20 lbs
Doctor :   why did you change like that
Doctor :   ?
Doctor :   you can take vegetable diet
User :   I eat lots of fruits and vegetables now
User :   and trying to eat nuts
User :   but still loosing weight
User :   without meats and carbs
User :   even when I ate lots of those items I barely managed to keep enough weight on
Doctor :   ok
Doctor :   How much did you loose?
User :   I feel my body passes too much as stool rather then putting on weight
Doctor :   It is your misconcetion , i think
Doctor :   because of lacking of your daily routine food makes you to feel like that
User :   I was about 155 lbs trying to get to 165 about a year ago, and bottomed out at about 130 after doing the bowel prep for the sigmoidoscopy
User :   I am now about 140 something
User :   but not increasing much
User :   and my co-workers have all commented that I look like I've been sick and loosing weight
Doctor :   some times because of the health problem it might hapens
Doctor :   but you should counter the problem with positive attitude
Doctor :   take proper diet and do fitness exercises , then you cancome back to normal life
User :   are you suggesting this is physcological or that I can gain the weight back?
Doctor :   you can gain your weight back
User :   ok, good
Doctor :   i am giving you psychological reassurance also,because it also matters a lot along with the measures what you take
User :   ok, I understand
User :   could you please offer some specific recommendations as to what kind of routine to follow with regard to diet and excersise?(keeping in mind I am still trying to get a chronic fissure to heal permanently)
User :   Besides low weight I feel weak like I can't even open doors now
Doctor :   ok
Doctor :   you can try high protein diets
Doctor :   apart fro non veg
Doctor :   like protinex
Doctor :   soya protein
User :   Do these come in powder form?
Doctor :   okay
Doctor :   yes you have to mix them with the milk
Doctor :   okay
User :   ok, can I have as much as I want without adverse problems such as agrivation of fissure?
Doctor :   and take 5 meals instead of 3
Doctor :   they would not cAUSE ANY AGGRAVATION OF FISURE
User :   GREAT
User :   I will look for this or similar equivilent in the US
User :   how about eggs, nuts, fish and poultry are these good choices as well?
Doctor :   you can take fish and egges
Doctor :   eggs
User :   ok, good
User :   I used to eat bagels in the morning as well, but think these may possibly agrivate fissures
User :   is this true?
User :   I hoped the carbohydrates in bagels would give me more weight and energy.
Doctor :   yes
User :   yes they are bad for fissures or yes they are good for weight and energy?
Doctor :   they are bad for fissures
Doctor :   take more fibre diet
Doctor :   ok
Doctor :   like fruits vegetable stuff
Doctor :   like salad
User :   one thing that I noticed is that cereal is very high in fibre, but it leads to large bowel movements that irritate the fissure more than anything else
User :   Can too much fibre also be an issue?
Doctor :   no
Doctor :   but
Doctor :   it is better to have fiber because it will stretch the bowel
Doctor :   Are you there?
User :   yes
User :   sorry connection issue
User :   ok one last question then
User :   the doctor said since this has been chronic I need to see a surgeon that may need to do a botox injection to the sphincter muscle
User :   so that it can heal permanently
User :   are you familiar with this procedure?
User :   I am hopefull it won't come to that but want to understand it if it is a possibility
Doctor :   botox injection can keep the muscle relax for a while , i.e. 2-3 months
User :   my concern is could this lead to some issues with continence?
Doctor :   it depends on the skill of the surgeon
Doctor :   but it is very rare occurence
User :   I am worried about even a small loss of continence
User :   is continence loss usually all or nothing or will it have a small impact?
User :   ok
User :   I think we got disconnected
Doctor :   Incontinence is very very rare side effest
Doctor :   *effect
Doctor :   no need to worry about that
User :   back
Doctor :   sometimes there might be local irritation because of injection
User :   ok, thank you
User :   what kind of irritation, just mild burning?
Doctor :   mild contusion
User :   ok
User :   but this does not take the full 2-3 months to go away?
Doctor :   i could not understand ?
User :   the irritation, is that only short term or can it last 2-3 months?
Doctor :   it is just short term side effect which lasts harldly for 1 or 2 days
User :   ok great, thank you very much
User :   I think that's it for today
Doctor :   ok
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