3796: Anal Fissures, Reaction from Intercourse, Silicosis & Progressive Massive Fibrosis, Severe Hay Fever, Healing Gut After Cancer Treatment

June 28, 2026

3796: Anal Fissures, Reaction from Intercourse, Silicosis & Progressive Massive Fibrosis, Severe Hay Fever, Healing Gut After Cancer Treatment

June 28, 2026

HouseCall: Anal Fissures, Reaction from Intercourse, Silicosis & Progressive Massive Fibrosis, Severe Hay Fever, Healing Gut After Cancer Treatment

Welcome back to our weekend Cabral HouseCall shows!

This is where we answer our community’s wellness, weight loss, and anti-aging questions to help people get back on track!

Check out today’s questions:

Amy: Hi Dr Cabral. Many thanks for all that you do for this community! I’d love your advice on anal fissures. I had one recently that had begun healing. My doctor gave me Diltiazem/Lidocaine cream that I used 2x day and my fissure closed and developed healing/scar tissue. However, less than 2 months later, it’s opened again. His suggestions previously involved either Botox injections or surgery if the cream had not worked and I would prefer to try and address it more naturally. Do you have any suggestions about what I can do to get this fissure to heal and stay healed naturally? I’m working on diet/fiber but that doesn’t seem to be enough. One bad bout of constipation and it seems to undo anything I’ve done to help. Thanks!

Anonymous: Hi Dr. Cabral. This is a bit of an intimate question. I’m having some sort of reaction after I have sexual intercourse. I get a prickly, itchy, warm sensation in my vagina, on my legs and stomach. Sometimes red bumps appear on my skin. Almost like I’m having an allergic reaction. Symptoms continue on and off for about 3 or 4 days then everything calms down and goes back to normal. It seems to happen more around ovulation and menstruation but recently happening anytime of the month. Any idea what is happening to me and what I can do to heal it?! To note, I’m 40 years old, still getting regular periods. Thank you for your help!

Mke: Hi Dr Cabral, would love your thoughts. I have known for a year I’ve had silicosis & PMF (progressive massive fibrosis) I was misdiagnosed for the last 15 years they’ve told me I’ve had sarcoidosis. My wife is an IHP, and we have been doing foundational protocols/DNS/detoxes/heavy metal detox/saunas/coffee enemas etc for the past 3 years. I have a very physical job and do keep my cardio fitness up, which seems to help my breathing. We have just invested in a home soft shell hyperbaric chamber after speaking to a guy in the US who’s lung function has dramatically improved (he has silicosis but not PMF) as well as investing in a rife machine. Do you have any advice, thoughts or info on slowing down or reversing scarring or anything that might help?

Jamie: My daughter, nearly seven, has developed severe hay fever this year in the UK. She is constantly sneezing, has dark circles under her eyes, looks exhausted for almost three months, and her sleep, breathing, concentration and focus seem affected. She may also have a mild dairy intolerance, possibly linked to eczema in her inner elbows, though otherwise she is active and well. We also suspect slightly restricted sinus passages and mouth-breathing, and are considering seeing a functional-medicine-style dentist to support facial/skull development. Could you advise on practical ways to help her and whether any allergy or other tests would be worthwhile at her age to identify the root cause? Any initial guidance hugely welcome. Massive thank you to you your family and your team.

Sarah: Last year I was diagnosed with stage 4 grade 3 endometrial cancer. I underwent six rounds of chemotherapy: Paclitaxel and carboplatin along with immunotherapy; jemperli. I also had a complete hysterectomy after the third round. Prior to treatment I had regular bowel movements. Now they are loose and very dark brown. I have very limited resources currently. What do you suggest I do to heal my gut?

Thank you for tuning into today’s Cabral HouseCall and be sure to check back tomorrow where we answer more of our community’s questions!