And, more important, follow your doctor's advice about how best to monitor your use of Coumadin. My husband has suffered from rectal fissures for years. Despite this, he continues to experience severe pain with occasional bleeding. He is against surgery, so is reluctant to see a doctor. Reluctant or not, he should seek medical attention.
Rectal fissures are actual tears in the lining of the rectum and anus.
In most cases, these lesions heal in a matter of weeks. I am concerned that your husband's fissures have continued to trouble him for years. I can understand his wish to avoid surgery. His disability must have profoundly affected your life together and your activities. In my opinion, a medical evaluation is necessary, and I would be prepared for the fact that surgery may be suggested as an option.