Anal Fissures

I had this a decade ago. The creams help with pain and healing, but a change in diet is the only long term solution. Surgery is a last ditch strategy.
So like I want to know how I can get the creams and if they are even available in SA. Like should I just ask the doctor directly to presribe?
 
Nah, push hard enough so that you almost pass out. It's like kundalini meditation.


Straining on the toilet can cause a subarachnoid haemorrhage. Colleague was found dead on the toilet floor with pants around the ankles at work from this:

There are usually no warning signs, but a subarachnoid haemorrhage sometimes happens during physical effort or straining, such as coughing, going to the toilet, lifting something heavy or having sex.

A person with a suspected subarachnoid haemorrhage needs a CT scan in hospital to check for signs of bleeding around the brain.

If a diagnosis of subarachnoid haemorrhage is confirmed or strongly suspected, you're likely to be transferred to a specialist neurosciences unit.

 
If you don't see stars and angels when you poo, you're not pushing hard enough.
Used to think that until this happened (not my eye) , but almost identical to what happened.

iu


 
Used to think that until this happened (not my eye) , but almost identical to what happened.

iu



And when that happens in the brain from straining on the toilet, it can be fatal.
 
Used to think that until this happened (not my eye) , but almost identical to what happened.

iu


Yeah, it just gives you a really haunting look for a few days. It goes away.
 
Yeah, it just gives you a really haunting look for a few days. It goes away.
Flip I got this before my mates wedding. I was casually cruising down the M5 in Cape Town, blindly grabbing biltong from a brown paper bag (from the Spar at Century City) when suddenly I tasted something "weird". Anyway in my ravenous hunger, I gobbled it down only to realise the smell in the vehicle was horrendous. Now I don't have the best sense of smell but the fellow occupants in the vehicle started looking around and choking.

I suddenly realised with horror that this putrid stench was now resting in my stomach. I tried to force myself to throw up. I signalled to the driver to pull over and I sat for 10 minutes trying to wrestle the foulness from my gut.

I puked nothing but water... and proceeded to collect the suits for all the groomsmen and called it a day.

The next day (the big day), I woke up and looked in the mirror. It was the devil himself! I had blood for eyes. Thankfully I had no ill effects from the foulness that my body had now consumed and I attended the wedding. Bizarrely almost nobody noticed - and I even did a speech! Thankfully my eyes came right a few days later and now it just looked like the flash gave me red eye in the wedding photos ;-)
 
So like I want to know how I can get the creams and if they are even available in SA. Like should I just ask the doctor directly to presribe?
Yes, if you want a specific medication/cream that requires a prescription then just ask your doctor for it directly. Explain that you've heard good things or had it recommended by a friend/whatever. If they really feel it's a bad idea, they will explain that and perhaps offer an alternative. Also, maybe check the ingredients in the creams, if it's not available locally there's a good chance that there will be a local alternative that the doctor can suggest.
 
Yes, if you want a specific medication/cream that requires a prescription then just ask your doctor for it directly. Explain that you've heard good things or had it recommended by a friend/whatever. If they really feel it's a bad idea, they will explain that and perhaps offer an alternative. Also, maybe check the ingredients in the creams, if it's not available locally there's a good chance that there will be a local alternative that the doctor can suggest.
I tried this actually. And the GP initially prescribed it (0.2% Nitroglycerine cream... which is meant to relax the muscles). Then i went to the pharmecies and NONE of them had it. But they said they could compound it if I get another prescription from the doc with the instructions. So I asked for that... and then he changes his mind and gives me some anti fungal + cortizone wtf...

So yeah i think I am gonna try a co rectal surgeon this time... who would probably know more. Still really pissed off though at the GP
 
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