I had 3 internal hemroids removed with ligasure device 6 weeks ago and have had continual bleeding and pain with bowel movements. Now I am told I have 2 fissures, not sure when they occurred because there has never been any relief from the pain and bleeding in the past 6 weeks.

I am very scared :eek: this will never go away without surgery. Have been trying annointment for 2 weeks now to help with pressure/pain but I am still having a lot of bleeding.

I have been taking metamucil and miralax (when needed) faithfully since the original surgery.

I am currently looking for a specialist with knowledge on treating with Botox. Does this work? Are there better options?

Help...I would like to hear from someone with any experience with this. Thanks.

Sounds like you need to get in with the specialist or general surgeon asap. If the fissure gets worse - you will need surgery asap due to the pain which is totally different than the hemorrhoids.

Unfortunately, sometimes, the ligasure doesn't work. A close friend of mine started out with the same problem you did and had the ligasure - she had the same problems after surgery so they ended up having to do the old-fashion surgery. She was in pain about 2 weeks but had heavy pain meds, but had no more symptoms after that. I would get in as soon as possible so you can hopefully stop suffering. I know it's embarrassing but will only get worse. You also may want to just f/u with your first surgeon right now.

Hope you get to feeling better.

Thanks for the quick reply. I have a call into the specialist office, will definitely try to get in ASAP. My original surgeon has recommended I see someone else so I will be more comfortable with any new decisions since this didn't go as planned.

It is good to hear from others who have knowledge of this problem.

thanks..:)

Heya! Let us know what your doc says......I too have a small fissure or two about 10 weeks post op. My doc cauterized one of them two weeks ago (which took care of the pain almost immediately), but it is acting up again. My next appointment is Monday, thank god.

There is no blood, just a flash of searing pain when I go potty that is over rather quickly. Compared to how i felt ten weeks ago, it's a cakewalk. :)

Hi Happybottom:wave:,

Love the name!

Good to hear from you. I definitely have less pain than 6 weeks ago, but am worried it is becoming a chronic issure. Still seems like a lot of bleeding and pain, very discouraging, also a very tight feeling all over pelvic region. Maybe it is not unusual if you are also experiencing it at 10 weeks. Hope your Dr's visit is helpful, please let me know how it goes.

I tried to get ahold of Dr's Friday but they were closed because of good Friday. Guess I need a referral and have to be approved as a patient to get into a very well known clinic, that is my goal next week. Not sure what I'll do if they don't accept me. I do have a referral to another specialist but they do not do the botox injections there.

Take care...:angel:

Heya! My doctor cauterized with silver nitrate again, and said if I am still having issues next week that she will prescribe a special cream for me that will aid in healing. i don't recall what it is, but i thinkg she said it helps increase blood floow down there and speeds the healing---I will get back to you on that. I did some research online and only 5% of "fissure people" have to deal with them constantly post-op. So the odds are in our favor! :)
But it is still a royal pain in the butt right now. I am using my rectogel cream (lidocaine with aloe vera) and it takes most of the burning away. Like i said, compared to the first few days post surgery and that very first bowel movement (oh my god) it is pretty minor---but still incredibly annoying. I think I might start up the stool softeners and bulking agents again...I probably should have stayed on them longer than I did.

Any news from your doc??
Hope you feel better soon!!!

:)Good to hear from you. I couldn't get an appointment until April 7, and with another specialist April 21. Seems like a long....wait....

I am using a specially made ointment, not sure which ingredient but it is supposed to increase blood flow and reduce pressure. Probably what your Doc told you about. Have been using it for almost 3 weeks now. It may help some, but the problem is still there. The nurse said it can take 6 weeks to heal. Hoping that will work, but it still has a way to go.

Do you think the cauterizing with silver nitrate helps? I will see if the Dr. recommends it. Hope yours is healing so you won't have to deal with it much longer. It seems like a long ordeal that will never go away!!:( Are you down to one fissure?

Probably good to keep taking fiber supplements. I am having 1-2 doses of metamucil per day. I felt the miralax helped me more than stool softners, so I've been taking that alot of days.

Hope you are feeling better. Take care.

Hi krazijess,
Thanks for the reply. I know what you mean about regret...I totally regret the hemroid surgery, no pain before, now tons of it....still 2 months later.:mad:, though it is better than a month ago.

Did you try any other treatment before botox? Can you tell if things feel more "relaxed" now after botox? I seem to tense up after BM's and have alot of pain for many hours.

I have 2 appointments coming up, next week with Doc that doesn't do botox. Another later in the month where botox is a possiblity.

Have you tried the annointments that are supposed to relieve the pressure to allow healing? Botox sounds like it may be better at doing this.

How long have you been dealing with this "issue" before trying botox?

Hope you are feeling better very soon....:angel:

I didn't have Botox for my fissure, I had traditional surgery for it. At the same time I had an internal (unexpected) hemorrhoid removed. It was the most painful thing I've ever experienced (and I have gone through labor/delivery). The first 3 days afterwards I was in excruciating pain and the painkillers didn't even help. (In hindsight, I should have gone back to the hospital for stronger meds but that was my mistake)

All that said, it was worth it for me. I haven't had issues with any fissures since the procedures. It has been 3 years this spring. I did have some anal cramping here and there for a couple of months afterwards and every once in a while I'll get a couple. but otherwise that part of my body is doing pretty well.

Good luck in whatever you decide and hang in there. I know how bad dealing with these types of issues can be.

Hi Josey,
Thanks for the encouragement. It's good to hear from others who have had a good outcome from their procedures. :)

I am anxious to have this resolved, hoping that the Dr's appt can give some good advice and resolution of this very annoying problem. It seems to take over your life. It is a very painful issue, although the hemrroid surgery was way worse. I agree that the pain seemed to be worse than childbirth and other surgeries I've had. Wish I would've been warned of the consequences. Don't think I would have agreed to this.

Happy that you are well. Take care. :angel:

Well, I saw the specialist today. Very disappointing. :( It's been 2 months since the regretted hemorroid surgery. The Dr. just told me that everyone heals differently, and I am still healing. I guess bleeding and hours of pain after 2 months is not unusual?!!?? Come back in 6 weeks and we will see how you are doing. You can continue using the ointment - he didn't make this sound all that important. He also said we don't want to do any more surgery yet. I absolutely agree! Guess I just need to be patient. :confused:

I am wondering what happened to you'll be fine and ready for work the following week after surgery (that came from another Dr's office).

I have another appointment scheduled April 21 with a different specialist several hundred miles away. Not sure if it is worth the trip, though.

Anyone have any advice?

THings i've done for my Fissures so far;
CANASA
hydrocortison
Botox injection
Lidocaine ointment
Nitro-bid ointment

Ande just yeterday i did the surgery. I don't wanna say anything more, affraid to jinx ma self.

Hi Jess,
Hope you are feeling better and the surgery is a success. Wondered what happened to you.

I am not sure what to do, I have an appointment coming up April 21. Hoping I feel more comfortable with this new Dr., otherwise I don't know what I'll do.

Let me know how it is going. Wishing you a speedy recovery. :angel:

I am SO Discouraged today. After nearly 10 weeks, things don't seem any better than they were a month ago. I am really regretting having this surgery...and angry at the surgeon for not giving me any clue that this could happen. :mad: I had No pain before this surgery, only bleeding. This surgery really didn't seem necessary. I was very uninformed.

Does anyone have any idea how long to expect this to last? Does it ever get better? Right now it seems like things will NEVER get better. :( I am still having bright red bleeding and pain with every bowel movement. The pain can last for hours. I also have discomfort alot of the day although I usually feel better when I wake up in the morning until the dreaded bowel movement.

I take metamucil several times a day and also take miralax almost daily to keep things moving.

Any encouragement would be appreciated. :)

If u live around Northern Virginia/Dc u can come and see Dr Seid ..he is very good...very little pain, u berly need painkillers...at least so far.
he did gave me Volume and percosets for pain and relaxing my muscles...It was less painfull than Botox injection...Ask ur Dr how and where exactly he is gono cut the sphincter...this is very important and main reason ppl get incontinence

thanks,
I have an appointment at mayo clinic. I will definitely ask more questions if I have surgery.

Glad you are not having much pain...

i think u need to do the surgery, but with right Doctor....otherwise u gono have to deal with it. i do feel much better but i have stitches and i have pain during Bm because of stitches...you can go head do the Botox for now it got 60% success, if it dosn't work then do the surgery...
From waht ur telling me about this Doctor of urs , he is not very confident doctor...if u decide to do it with him ask him where exactly he is cutting and how deep he is cutting...As u may know the sphincter muscles is not exactly round... this is how it look like.... ()
and u do not want him to cut at the ends and not too deep either.
The reason some ppl get incontinence is the surgeon cut into end of the muscles or they cut too deep cuse they sux in thier job. If u are very worried i suggest u come here and do it with Dr seid...he is very good....the whole thing took him 30 minutes...he explained everything from A to Z for me and we started with ointments , botox and others and finally surgery...now i don't want to jinx ma self but as far as surgery it went good...i did it last Friday..came home slept and everything is just fine...he called me several times to check on me too. So i cannot say enough about him + lots of free meds

Thanks for all the advice, I will definitely ask these questions.

I am going to a different Dr. from Mayo Clinic, my original surgeon, Dr. #1 (from a different town) will definitely not be involved. I have not met the new guy yet. Sounds like yours is a good one. I did meet with a different Dr. #2 who I am not too comfortable with so this will be the Doctor #3. Dr. #2 just wants to wait 6 weeks and see. I would like to know a little more, especially if they expect any healing and when that could be. If not, then what?

Glad you found a good Dr., I know how important that is now.

Hope you have continued healing, happy things are going well for you.:angel:
Let me know how things progress.

it took me 5 doctors and eventually one of the doctors told me that she cannot help me but she referred me to this Doc that can help me .
i tell u something though, every time i have BM ,because of stitches, it hurts like a bitch... so make sure u get lots of painkillers. and watch out for infection. I did get cold in the same day that i had surgery and now it a little bit worrying me...infection

Jess,
How are you doing?

I go in for appointment tomorrow. I am kind of scared,:eek: they have a slot on Tuesday to do surgery or treatment if needed. Not sure if I am ready for that yet although last night I did have a lot of pain.

Let me know how the recovery is going. Hoping the pain is better and you haven't got any infections. Are you having any negative side effects?

Take care. :angel:

Jess,
How are you doing?

I go in for appointment tomorrow. I am kind of scared,:eek: they have a slot on Tuesday to do surgery or treatment if needed. Not sure if I am ready for that yet although last night I did have a lot of pain.

Let me know how the recovery is going. Hoping the pain is better and you haven't got any infections. Are you having any negative side effects?

Take care. :angel:

The surgery itself it wasn't a big deal at all..went smoothly..its now11 days abut i still have pain from the fissures but not the surgery....i felt like the pain from fissure disappeared after the surgery for like 6 days but then i was eating lots of fiber and had BM every day...i just know one thing the less BM the better i feel...If u doing surgery with good experienced doctor u should be just fine ...pain is even less than the fissures pain and last only a day when u have BM...At this time i'm begging to suspect weather my problem is a fissure at all....and y it doesn't heal...or maybe i'm expecting too much or not patient...I just wonder if u can ask ur doctor at Mayo if there is a laser surgery to burn or destroy the damaged tissues
thank you and hope u just feel better...i think at May u should be able to find up to date treatments for illness

No infection just keep it clean and use tub to was gently the area ...dont use very hot water in the tub...and dont use laxatives...try to eat noodle soups...if u get infection make sure u ask ur doc for some Cipro just in case..but the infection is rare...wat else? let see...ohhh yeah ask for volume if u have lotta muscle spasm..or anxity prior or after surgery....trust me it is not major surgery ... and discomfort is less than fissures pain....try not exercise or move around alot for first week at least..

Hi Jess,
Thanks for replying. Hope you feel 100% soon!

My appointment went well. I did not have surgery yet. I have one deep fissure at the 12:00 position. Also two unhealed areas that they did not call fissures but said the blood vessels are close to surface so they are very tender and bleed easily. Even though I've used the nifedipine ointment for 6 weeks, they feel I have not used it correctly. Previous dr's said told me not to apply internally. Dr's at mayo said no, do apply it internally, not far but definitely in and onto the internal fissure, also on the unhealed spots. They want me to try 6 more weeks of this. It is discouraging because I still have alot of pain and 3 spots to heal. Will this ever end???

After 6 weeks, next step then botox, and if that doesn't work, then surgery. They did comment on incontinence of 4-10%, depending on study you look at. Scary... I appreciate your advice about how they need to do the incision. I feel comfortable with this surgeon, but it seems like a long road ahead of me.

They talked about cauterizing un healed wounds if they do not heal, maybe at same time as the botox.

Do you have muscle spasms anymore? That is what bothers me most. 6 hours of tight feeling and pain after bm's. I don't have much to take except darvocet, which I try not to take. Any muscle relaxants work well?

Take care, Have a good pain free day! :angel:

well u said something the kind of bothering to me...u said u have fissures at 12.00 positon thats hard to do surgery on...i did go to medical school for two years so i'm awre of lotta things and meds ...i think ur doc is right in playing safe becus eof the location of fissure...mine is in left side at 9.00 ...and he did the cutting at 3.00 position exactly opposite to my fissure ...i have much less spasm...do the Botox there is no danger in that...risk free and it might help u it defentky will help u with spasm...after quitng md school i got my degree in psychology...but now i cannot even help myself psychologically..tell u the truth im soooo down and depresse which won't help at all...

As for pain try trmadadol..its last longer...might help u a bit with deperssion and has least risk of dependency...
when i take it cuts the pain by 50 to 60% and last almost 12 hours anor more...so u dont need to take it every 6 to 8 hours

I just wonder if u can ask ur doctor at Mayo if there is a laser surgery to burn or destroy the damaged tissues

I totally relate to the depression thing. After nearly 11 weeks of pain because of an unneccesary surgery and no relief in site, it gets to be sort of depressing. I appreciate your insight on surgery with the position of my fissure, it is very helpful to have more knowledge.

I will check into the trmadadol. Dr's don't seem to want to give out pain meds, constipation & dependancy I guess.

Although I appreciate seeing good dr's, it was sort of a let down on the drive home that this may last a longg...time yet. :( I really felt like crying.

Praying for your mental and physical health. :angel:

They mentioned cauterizing, suppose laser surgery is quite a bit different?

i wonder weather or not u too been taking lotta fibers that make u have frequent BM...also u need to push ur doc for pain killer...i know they try to cover thier own a s s...but our a s s is more important

I do take flexeril (muscle relaxant) for neck pain occasionally, maybe I need to try this while I am having more pelvic pain. Usually I only take it at night since it can make me tired. Wonder if others ever use this for fissure pain.

They mentioned cauterizing, suppose laser surgery is quite a bit different?

cauterizing might help ur case...because they just go there and stitch it together
so u might want to consider this option ...i just want o know if there is a way to destroy or burn the damaged tissues...and i think Mayo clinic has more advanced methods ..that's y im asking u to ask ur Doc for that...

definitely need to be more assertive! I am kind of wimpy and go along with what dr's say. that is what got me into this mess with the hemmorid surgery.

Try to take metamucil 2 x day. Also miralax every day or two. If I don't things slow down. It is very hard to regulate. My goal is once a day, but it goes up and down.

Are you able to take time to heal after your surgery or are you working or going to school?

Good thing I don't have a "job" that I need to punch in or I'd probably would have lost my job by now.

Try to take metamucil 2 x day. Also miralax every day or two. If I don't things slow down. It is very hard to regulate. My goal is once a day, but it goes up and down.[/QUOTE]

don't u feel that ur fissure won't heal becuse going to bm alot...?thats how i feel...and just stoped taking any fiber and decidng just to eat normal food..

Are you able to take time to heal after your surgery or are you working or going to school?

Good thing I don't have a "job" that I need to punch in or I'd probably would have lost my job by now.

since i got this problem i quit every thing...i tried but couldn't..its very hard to work with pain like that can't study ether cause how can i concentrate...its trouble..now i know wat the mean when the say "pain in the a s s"...i just wish i would not listen to that bastard Doc that did rubber band for my minor hemorrhoids, that could've been fixed by hydrocortisone..

I wish I could go back in time and take back the surgery I had. When I think about the dr I get angry...am trying not to be bitter about it.

Can't believe dr's aren't a little more careful about what they are recommending when it can have very :mad: Painful and long lasting consequences. Definitely a pain in the **** :blob_fire

It is a relief not to have a bm some days, but I am afraid I may pay for it later. When I have to strain things seem to get worse for a few days later.

When I do have a bm, it seems to set me back the rest of the day. Alot of days it is a relief to go to bed, I usually wake up feeling better. But...the cycle continues...pain...most every day....

have u tried any herbal or other unconventional or holistic medicines? and if u did wat was ur experience with them?

i think i found u sothing ver usefull

V-Y Advancement Flap
This surgery is much less common — perhaps 1 in 100 anal fissure surgeries. When a fissure has created extra tissue in the form of scarring or skin tags, the surgeon might perform the sphincterotomy at the fissure site and remove the fissure.A v-shaped flap of skin is cut with the point of the 'v' at the fissure. After the cut is made into the internal sphincter muscle, the flap is slid to cover the wound and stitched closed. In patients with weakened sphincter muscles, the flap may still be made to cover the wound, but the sphincterotomy may be omitted.The surgery is usually an outpatient procedure and performed under general, regional or local anesthesia...aparantly they do it in Mayo clinic...

interesting, good info to have. thanks.

u might nee to ask ur Dr and see how its done...i think i'm gono do it its called
laser fissurectomy and its done in Mayo clinic]

I'm gonna research this. Are you thinking of having your fissure removed? Do you have to see your dr soon?

[well if it possible yes i will remove it...but i don't know if it is possible i have to see my doc next week...Also if its possible to remove it i like to know whta are the risks

research it well, it does sound painful. Also you don't want any more complications. Hopefully the dr will tell you are healing well and will continue to get better.

hi...
did u got to mayo clicnc by any hcnace

Hi Jess,
I've been wondering how you are doing.

I did go to Mayo about 3 weeks ago. They want me to continue with the nifedipine ointment for 4-6 weeks, but try to apply some inside (not too far in ) instead all on outside. If I continue not to heal then Botox would be next step and cautery on spots that are not healing also a possiblity. He thought 2 spots are unhealed from hemmoroid removal and one deeper fissure at the posterior position, also from hemmoroid removal. Not sure why one is called fissure and others are called unhealed wounds..??:confused:

Overall, I guess I am doing a little better, but still not healed. There are still bad :mad: days mixed in with better days. Guess I will probably schedule botox in beginning of June if things don't improve alot soon.

Hope you are feeling much better and are recovered from the procedures you have had.:) Let me know how you feel.

well if u have unhealed wonds there is this medication called CANASA and it suppose to help healing unheal wonds ask for that...i still have pain ..no chnage im using same cream that u use ,.2%nifedipine...but its not effective at all. nitro-bid was better..my fissure healed at least that wat my doc said ..but the pain is still there ...and im running outa options...do u feel like ur pain is more muscle pain?...dose asprin helps?

Thanks Jess,

I will keep CANASA in mind. I am still using the nifidipine and also vitamin e. The unhealed wounds are getting better. I have much less bleeding.

Still using miralax and metamucil.

Sorry to hear you still have pain. Mine is slowly improving, I see a definite improvement. My pain was more like some sort of muscle spasms, it is hard to describe. I took 3-4 ibuprofens, but not sure if it really helped much and it was too hard on my stomach to take very long. Never tried aspirin. Tylenol definitely didn't help. Darvocet seemed to help also.

Hoping you are better.

Take care.

i just did another botox surgery..but on the location where i had the rubber bands ..i dont have fissure any more and i do know where the pain exactly coming from and y...it was beneath where the rubber band took chunk of muscles ..and it could be unhealed wounds...so we injected cortisone and botox there today...and around it ...i also did MRI...special kind of MRI so lets see if it help i will come and garb by ur neck to my doctor if not then i just try laser to burn the damn thing maybe the whole rectum

Hey Jess,
Really hoping the botox helps you this time. Sounds like you had alot of unusual complications from a rubber band procedure! Wow, can't believe that it took out some muscle. No wonder you have pain. Glad to hear your fissure has healed, so you have less to deal with. I know it gets to be so frustrating when things won't heal.

I think ?? my fissure has healed but it is still tender. My unhealed wounds still bleed and are very tender and at times some pain. They are much better than they were especially since they don't trigger the muscle spasms. I am still using the nifidipine, I don't feel comfortable quitting that yet.

It's been 4 month since my surgery, although better, I still struggle with the unhealed bottom. Will this area ever be normal again?:confused:

Hey, are you feeling better?

I am sorry, but I read your story, and was hoping for some encouraging news.

I have had two sphincterotomies. I felt much better after the second one, and think the fissure healed. However, my second surgery was complicated with an abscess forming at the unhealed wound, which had to be surgically drained in March. The abscess incision just healed and all was well until two weeks ago when the fissure re-formed!! I am so frustrated...using nitroglycerin again, but no real improvement...
Any suggestions?

Hi Lubr79,
Sorry to hear you are suffering from these problems :(, too.

After 5 months I finally feel like things are to the point of being healed. It is a very long and painful place to heal.

One of the most important things I do is to keep my bms soft and moving very regularly. If I slip a little, things seem to get worse. I am still taking miralax about every other day and I try to add some extra fiber in daily. I may add benefiber or other drink mix to my water and it really seems to help.

I know it is very frustrating, hoping you are feeling better since you started using the nitro again.

Best of luck to you! Not sure if I have any specific advice but to be very careful even after you are feeling better cause things can start up again.

Take care.

i think u have same problem with me that resulted in different ways....i'm getting lots of help from my doc and this doc from Gwashington HOspital....my optios are... lazer...cortison injection on site of damged area with shoed on my MRI results.. freezing the spot...cutting the area....and some others...now im taking lyrica for nerve damga...it helps alot....sometime no pain ata all...so now i need to sit down with both my docs and come up with solution A and move up and see whichone will help...im staying away from fiber foods becuse the less BM the less pain and less spasm.....i can tell u this though, i found one hell of a GI doc...i just dont know how to thank him for not gaving up on me..

Well, I am having bleeding again and some soreness, and spasms? It is frustrating, maybe the area is always going to be very sensitive to things. I had a bout of diahrrea then constipation. It is getting somewhat better but I am a little discouraged.

Hi KCinderella,

I recently tuned into your chat as I on occasion post on this board. My story is similar to yours. I had intense pain for 6 months, did all the creams, softners etc....then did sphincterectomy....things just got worse....Two months later I did second surgery since doc said first one was incomplete. It has been 5 months since surgery #2. I don't have the same intense burning pain as prior but I am sore everyday...The original posterior fissure pinches and stings throughout the day and the lateral side is constantly sore. I don't know if this is the cut muscle from the operation or sometimes I think the lateral pain is an irritated hemoroid from all the work....My surgeon after 6 weeks pretty much said....pain is normal and deal with it...(easy for him). I was thinking of going back to see if the lateral pain is indeed a hemoroid and if it was to get it removed (at least I would only have one pain to deal with not two) BUT after reading your story I'm not sure....I thought the rubber ligation was a safe and easy thing compared to the hemroidoctmy???

Anyway its amazing how a fissure can change your life, people tell me not to focus on it or let it consume your life but its difficult when you are always sore!! After this year of suffering I don't even feel that I am the same person I was before.....but a shadow of my old self......I am grateful though that the intense daily burning pain is gone but Im still sore everyday...

Has your fissure pain finally eased?
What about the hemoroid spots? (I guess you wouldn't recommend this surgery?)

Take care and keep praying this awful phase in our lives will eventually pass.

Hi Johnny,
It is so frustrating to have these butt problems. No one understands it unless they have gone through it also. Sorry you have to experience these problems. It is so frustrating.

I have had some good days and some bad. The skin in that area is maybe just thin now? The bleeding seems to start up easily if there is something out of the ordinary such as a little diahrrea or constipation. Guess we need to be diligent with our fiber and good diet.

I've talked to others who had the rubber band procedure for their hemmies that were safisfied but others have tender areas for a long time. I guess it depends partly on how well each of our bodies heal??? krazijess has had rubber band procedure I think, and he is still having problems.

I still regret I had the surgery, I didn't have these type of problems before, no pain, that's for sure. If you have surgery or rubber band procedure, I would make sure you find a specialist you are comfortable with. Unfortunately I did not research enough before surgery, I would definitely think the rubber band procedure would be the first thing to try before the surgery, I've heard it may take several tries to take care of them. If you have a tightness and pinching could that still be a fissure? Have you used any of the creams recently or don't you feel the need anymore?

My surgery is now over 6 months, I think the tissue is just thin there so I am not sure if it is ever going to heal completely. Things are definitely better than they were several months ago, so I guess there is still hope. :)

Take care.

Thanks Kinderella,

I no longer use any of the creams I used for the fissure such as Nifedipine or Diltiazem. The surgeon said don't bother you had the sphincterectomy so spasms should have stopped hence they are pointless. I sometimes still use Prep H, or wheatgrass on bad days to soothe area....Not sure if it does much for the posterior fissure area but it seems to help the lateral pain (which may or may not be a hemi or incision site?) Anyway although things are better then 5 months ago I still deal with pain daily...not as intense but uncomfortable and so inconsistent throughout the day that it causes so much fear and worry.

My family doc says often it takes over a year for surgical sites to feel good again. I hope this is true and the daily ups and downs will eventually resolve...

If docs do discover hemmi not sure if i'll take chance of another surgery?

Let me know if you have any major changes....

I think and pray for all of us sufferers daily

Good luck