I just had to have my say in this, as your situation sounds so familiar! I have IBD, and last fall was horrid with active UC and a fissure (or two) - but I've lived through it, so keep your spirits up - no matter how hard it may seem right now!
D is NOT caused by the fissure, rather the fissure is caused by the frequent visits to the toilet or C (try not to push too hard). I got light headed from the cream at first too, but in the matter of a few weeks my body got used to it (don't apply it on an empty stomach!). What I found very relieving for the pain (and bowel spams) was taking hot/warm baths at least up to my waist, and I've heard going to the toilet is less painful when doing it inside a cube of warm water (as discusting as it may seem!). I assume your doctor has already told you to use a hand shower to wash up afterwards, or at least use alchohol free baby wipes instead of regular toilet paper.
Taking loads of liquids also helps the evacuation through the fissure, and please follow the dietary suggestions Syl has given you! It's not easy to change our habits, but living with the kind of pain fissure causes is no life at all!!
It took two months for the fissure I had to fully go away - I'm ever so relieved it did, and I hope it never comes back! Hopefully you'll be able to say the same soon!!
Regards
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Re: Worsening IBS....definition of D
