Focus on One Bowel Movement Per Day, Preferably in the Morning
When I was experiencing the inexorable pain of anal fissure, I was so fearful to release a bowel movement that I simply did not eat. I drank juices and smoothies like Odwalla or Naked throughout the day in place of meals, which kept me from going to the bathroom for a day or more at a time.
After a day without going to the bathroom, the pain does die down. The fissure heals itself and the body feels a tentative relief. However, this is not a long term solution.
The problem is that eventually a bowel movement will come out, and when it does, it will hurt even more.
One of the functions the large intestine performs is to hydrate the body by extracting water from any digested matter that passes through. So while you are withholding going to the bathroom, your large intestine is pulling water out of the feces remaining in the colon, making it harder, sharper and more stagnant. When you do have to use the bathroom, you will need to strain to get the stool out and, in the process, aggressively tear open the fissure again.
Despite having gone through this experience, I did not learn my lesson and continued to withhold bowel movements. Eventually my condition got worse and worse, and I realized I needed to change course.
The goal is this: have one bowel movement every day, preferably in the morning.
The only way you are going to get through this nightmare is by making incremental improvements in your health, and this is the first step. Ideally, you want to have the bowel movement at a similar time every day, so your body falls into a predictable rhythm. This way your body has the whole day to deal with the pain and by the time you go to bed, the pain will have died down and you will be able to sleep, letting your body’s natural mechanisms heal itself.
The first step toward healing yourself is to have a pleasant and efficient experience in the bathroom. The following techniques will help you make your bowel movement quick, effortless and smooth.