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hemmy
10-01-2008, 04:50 PM
My doctor prescribed Diltiazem 2% ointment for an excruciating anal spasm issue that has plaqued me off and on for 3 years now.

I'd like th hear from folks that have used this medicine and get some info on it's effectiveness and how long it takes to work. I have no fissures, just spasm that i'd really like to get resolved. I'm also on Dicetel which seems to help.

box80
10-02-2008, 02:47 AM
hi i was prescibed that for help with an anal fissure. i must admit i used it once. it gave me such a terible headache and severe dizziness that i went back to using GTN cream. funny ting is the GTN is meant to be worse for those symptoms but i find it ok, what i will say though is that i read up on the dilitazem and you are not supposed to put it inside the anus which i did, my doc didnt tell me how to use it properly so my advice would be use a very small amount and just on outside of anus see how you get on. i think you apply twice a day 12 hours apart?

hemmy
10-02-2008, 04:22 PM
hi i was prescibed that for help with an anal fissure. i must admit i used it once. it gave me such a terible headache and severe dizziness that i went back to using GTN cream. funny ting is the GTN is meant to be worse for those symptoms but i find it ok
Really. I also read up on both and as u posted the GTN was supposed to have the most side effects.(headache, etc)

what i will say though is that i read up on the dilitazem and you are not supposed to put it inside the anus which i did, my doc didnt tell me how to use it properly so my advice would be use a very small amount and just on outside of anus see how you get on. i think you apply twice a day 12 hours apart?
Funny, i thought i recalled my doc saying to apply it inside and that's what i did. I might call him back to confirm this. I've only used it once so far and didn't notice much relief yet. I'll try just applying it to the outside and see how that goes. My prescription says 3 times a day or as needed.

I'm skeptical if this will even work on me as the spasms sometimes seem higher up, maybe around the levator muscle and tailbone tissue.

Thanks for posting. It's much appreciated.

box80
10-03-2008, 01:52 AM
obviously takes your docs advice on the application but i researched the cream and read a number of times on the net that this cream at 2% or higher shouldn't be put inside. i guess it gets absorbed quicker and as it is used in pill form for hart treatments it lowers your blood pressure causing the dizziness. i assumed putting it inside made it get into blood stream faster than was required? but then if you havent got a fissure/cut it might be ok as there isnt a direct route into bloodstream????
ask your doc to be sure....let me know how you get on.

suzyljank
10-03-2008, 04:43 AM
Hi, I've used the nitro ointment and nifedipine ointment for an anal fissure, the nitro gives you an instant headache. They both help to relax the sphincter muscle but for me that relaxation didn't last very long. Anal spasms can be very painful and last a long time. Sitz baths help some and when things got really bad I'd take ibuprophen and valium (prescribed by my doctor) and sometimes that would help. The whole point is to get the muscle to relax, once I was able to get it relaxed I was usually better for the rest of the day unless I had to have a bm. My spasms usually happened after a bm, when do your's happen? Have you had any surgery on your hemorrhoids? Hope the ointment works for you and your muscle stops going into spasms.

hemmy
10-03-2008, 04:06 PM
Thanks once again for the informative posts.

I have had 2 hemmorhoid relates surgeries. One eighteen years ago and the last about 3 years ago. I never felt normal after the last one but the pressure and spasms started about 10 months later. At first they weren't too bad lasting a few days and then subsiding for a time. This episode has been way worse, bothering me every single day i'm at work for 2 months and only somewhat calming down when i sleep or weekends when relaxing. Bowel movements most always get the sensations started each day.

I do a lot of walking and standing at work. Most of the day, i spend operating a reach truck(standing forklift) and for some reason it makes my condition go wild... I can only operate the truck for half hour at a time as the sensation gets too strong, and i have to step off and walk around to lessen the pressure. Makes no sense to me at all.

My specialist is somewhat of a green horn, fairly new to this field so it's basically trial and error so far.