hemorrhoids & anal fissures while on chemo :(

2 chemo cycles ago, the steroids they give me with my chemo in office made me constipated, which incidentally led to the first hemorrhoid I've ever had in my life. also pretty sure I have anal fissures because it feels like shards of glass every time I poop. I absolutely dread going to the bathroom now, and regularly use prep h and anusol. unfortunately, I have 1/2 a colon so I go to the bathroom more often than most people. I am so depressed because it feels like I just can't catch a break. not only am I fighting cancer and dealing with the awful side effects of chemo, but for the past few weeks going number 2 has been agony. I'm afraid one of these times when I go to the bathroom, I am just going to faint from the pain. I've never experienced anything like this in my life. has anyone else ever had this problem? does anyone have any advice? this is literally ruining my life. I almost want it to end just so I can be free of the pain and subsequent sadness this is causing me.

  • Chilly, PLEASE let me know if the nitro works for you! I was given anusol hc suppositories, and sadly I have to have my dear husband put them in for me. it's so painful for me to even do much down there. as of today, I can't even use my go-to wet wipes after a bm - the skin around is so torn up and inflamed, so now instead of wiping, I prepare a little sitz bath right after and just sit in that, dirty and all, because I can't handle the pain of wiping. even putting in the suppositories is an agonizing process, again because the whole area and inside is so inflamed. basically just sit there writhing in pain. this is seriously affecting my quality of life, which is already affected because I've been fighting this cancer for 2 years and every year it seems I get more bad news and more organs removed from horrendous surgery. :(

  • Hi I've been in the same boat so painful until a few days ago sent my husband to the chemist he suggested washing with aqueous cream and making sure area is dry most of the time and when wiping after going to toilet use a a wipe with a bit of bio oil helps so much. 2day feel so much better still hurts slightly but a lot better than last week Hope this helps hunny please let me know going threw chemo is hard enough xx
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    This happened to me. My third cycle of chemo coincided with the death of my Father. THe very next day a toenali came off and I had my first hemorrhoid and it was agony. I took my mother's advice.

    I got suppositories and hemorrhoid cream. I would insert a suppository at least 3 times a day and use the nozzle of the cream tube to shove up as far as it would go. As I retracted the nozzle I would be squeezing the cream gently allowing the cream to sooth all the way down. At the very bottom I would massage the cream in.

    If you can insert as many as you can at times when you can lie flat for about 30 minutes afterwards to ensure the suppository doesnt slip down.

    It takes ages to get rid of a hemorrhoid. It is four months later and I'm still a little sore.

    Another piece of advice from my Mother, keep up the routine, even if you think you are better. Wait until you are totally pain free for a few weeks before you stop entirely.

    Good Luck.

  • Hi, have just read your message and all the repleys while waiting for hospital to ring me back.  I thought l was the only person with this problem because of my surgery (so wrong). I had my large colon removed along with part of my rectum. My small colon then joined to my rectum. The hospital said all found cancer removed but to be on safe side it would be better to have eight sessions of chemo tablets. I am in the middle of fourth one. The pain is just how you and your readers have and like all of you don't get any relief from anything l do.  The difference with me is that l do not get pain every time l go. Some times it may give me no pain for two or three days. But like now l have had four solid hours of pain and have decided to ring hospital and stop chemo. Drastic measure BUT l am only taking it in case any cancer cells escaped and. L don't think. L can take an6more. I really hope you and every one else is able to get over this dreaded thing.

  • Hello Sufferer,

    I have read all of this thread and I am sorry to hear about what you and everyone else is going through.

    There has been some good advice posted but I wonder if you have been prescribed pain killers and if these are taken as soon as you have opened your bowel to help minimise the duration and severity of the pain.  Anti- inflammatory type pain killers might be the most effective type of pain relief.  If you have not already been prescribed pain killers do go and speak with your GP or specialist team, in particular your specialist nurse about this.  I think even if you have already been prescribed a particular pain killer and it has not worked you may need to be prescribed a different type of type.

    The NHS website has some useful information regarding anal fissure.  I am giving you two links to this, the second one discusses treatment that I think you may wish to ask your doctor about. Click here  and here  

    Hopefully you will be seeing your specialist team soon and can talk about how your treatment has affected you and your decision to stop.

    I hope that this reply is of some use. If you would like to telephone our Freephone number is 0808 800 4040, to speak with a nurse, we are here from Monday to Friday between the hours of 9am to 5pm.

    Take care

    Caroline

  • Hi. I've had the same, and I've not found any expplaination. It isn't bile or acid (though it feels like it is burning or splitting me in two). But if I understand the chemo process correctly at about 5 to 9 days (mine was worse with decetaxol) the cells in the stomach ahve all be killed off, so I think it's the necrosis of these cells sloughed off and expelled causing the irritation and burning, if there is any further irritation with skin splitting from straining through constipation then the matter is exacerbated. No matter what stomach neutralizing preparations I try No difference. So its rising it out  taking care as I move, preparation H and similar to sooth and pray it ends.

  • I am having a similar problem. Maybe my hemorrhoids were there from before but they definitely have grown and are hanging outside. I can't even find the opening. Lucky I manage to keep stool soft but I know how you feel. I am afraid to go to the toilet. And I don't want to stop my chemo cycles

     

  • Hi i didn't realise i had hemorrhoids till i started cemo then i had pain every time i went +i was filling the pan with blood, i had to large pads and change them every hour because they were full of blood it would be running down my legs i was like it for over ten weeks then specialist put me on some blood thicker, I'm fine now that was over three years ago.

    Billy 

  • Don't know if it's worth posting my comment since it's nearly fours years since your original post.

    I have prostate cancer and think I have always had an anal fissure but the examinations and procedures I've been through have certainly made the condition much worse.

    I had high dose internal bracatherapy just over a month ago and I am three-quarters way through my radiotherapy and my fissure pain is off the scale and damage to the bowel and bladder are par for the course.

    Tried multiple creams and prescribed ointments and they give some relief but after 8 months no sign of a cure.

    Been told to expect years of discomfort by the specialists but will insist on Botox or surgery once the effects of the radiotherapy have settled.

  • I'm glad this post has been re-newed!

    Yes I am suffering from what they expect is anal fissure during chemotherapy for my Hodgkin's.

    They think mine was partly caused as I was getting horrendous diahrea for so long - unusual for the chemotherapy I'm on. They think it's damaged the lining somewhat which makes total sense since it felt like passing acid at times. Now the diahrea is sorted I think my bum just can't cope with anything that isn't loose and hence the anal fissure. I've been using barrier cream EPIMAX and salt baths and sudocrem. I was given a steroid cream but it gave me horrible headaches so I'm going to see if there's anything else out there they can give me. 

    I must say it's a sight to see me waddling out of the bathroom! Pain lasts for about an hour after any movement and feels like glass and knives being passed when I do go. Plus blood on the tissue.

    Oh joy of joys!

    We're not alone in this people!

    Rose