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anal fissure and laxative abuse

Hi all,

I read some posts regarding the above two problems, but looks like the solutions are very personalised. So I thought I will ask about my problem in a new post.

For about 2.5 years, I have had issues of chronic constipation. Earlier, I used to have it once in 2-3 months, and now it has become regular (everyday). The problem usually stars with hard stool which leads to anal fissure, with bleeding. Now if I am not taking any laxative, I have to really force out the stools, which obviously leads to anal fissure.

I started taking stool softner, and when they were not helping, moved towards laxative... Now I am addicted to a strong laxative (milk of magnesia). Have been taking that off and on for about 1.5 years. This includes taking it 4-5 times a week for the last 3-4 months. Weaker laxatives or stool softners do not help. The only other solution that is suggested by allopathy is surgical.

I usually eat and drink healthy (low fat). I usually eat vegetarian, but eat meat occasionally. The last 6-7 months I moved to a new city and did not eat very healthy. It wasn't particularly unhealthy but I wouldn't call it a very healthy diet either. Also the anxiety level was high... all of it leading to the problem becoming worse. Otherwise, I also try and exercise regularly. As for my temperament, I am a cheerful guy, but have a high metabolic rate. As a result I sweat a lot. I feel uncomfortable in warm climates/seasons. As for food, I love food. I have strong cravings for sweets. I love dairy, in particular milk. I drink a lot of water (3-5 liters), but I also feel very thirsty. I have had a regular bowel movement for the last 25-27 years, with no other digestive complaints. Even with the anal fissure problem, I try and go the toilet daily. I sleep very sound. My age is 27, height is 5'9'', and my weight oscillates between 73-77 kgs.

Possible causes that I am thinking now:
- Low fat diet (I started that when I came to US, about 5 years back)
- Irregular timings of meals and irregular portion sizes.
- Now chewing the food well enough.
- Sitting for nearly 6-10 hours everyday (I am a computer scientist)
Anyways, the problem has become significantly worse because of my laxative abuse.

What am I doing right now?
- Taking no dairy (I am told that dairy is constipating).
- Trying to eat very healthy (whole wheat bread, vegetables, oatmeal, salad, fruits, clarified butter), drink lots of water
- Taking aloe Vera gel and almond oil.
- Trying to chew the food properly and have timely meals.
- Trying not to sit that much at a stretch.

Also, for the last 2-3 years I have also seen a rash develop on the left side near by waist region. It is like blood clot under the skin about 15-18 cm in size. I think it is because I sleep sideways (on that side), but not sure. Other than this, I have never had any health issues.

Can you please help me get off the laxatives? This is making me very tense.
  amol79 on 2007-02-13
This is just a forum. Assume posts are not from medical professionals.
A friend suggested that I could try taking Nux Vomica 200.

I am also trying some other remedies, like amla, methi seeds, trifla and isabgol. Also planning to start doing some yoga, but as the fissure hasn't healed, it hurts as of now. So taking milk of magnesia as well.
amol79 last decade

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