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Old 10-31-2004, 10:54 PM   #1
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Anal Fissure Pain and Recovery

Back in early August, 2004 I developed serious pain in my rectum...I experienced pain in the past, briefly but always attributed it to hemeroids. After having kids, I figured hemeroids went with the territory. So over a period of weeks I bought every kind of over the counter stuff you could buy, Preperation- H, Anusol, Witch Hazel, Peroxide, Desitin, Vaseline, A & D Ointment, Antifungal Cream, Neosporin, Nupracainal and Hydrocortisone Cream to name a few...I figured SOMETHING had to heal this problem. I was not about to give up...the pain was so intense that I slowly but surely ended up having no life. I finally got up the nerve to make an appointment with my general practioner a month later...fortunately my regular doctor wasn't in, so I saw her associate. I was so embarrased, but I couldn't take it any longer. She looked at me and told me she thought I might have a thrombosed external hemeroid and gave me some steroid cream and a name of a good rectal and colon surgeon if the problem didn't resolve itself. I went home "thinking" that I could FIX this thing..I put on the ointment and had to run into the shower because I felt like my rear end was on fire...I sat in the bathroom crying because I couldn't understand HOW a hemeroid could hurt THIS Bad. By this time, I could no longer leave the house at all....the pain was so horrible and going to the bathroom was only furthering the agony...ripping me up each and every time and leaving me in intense pain for up to 10 hours after a bowel movement. (And to top it off.. I have IBS after losing my Gallbladder, so I run to the bathroom a-lot) I finally decided to go see a General surgeon I knew who had done quite a few surgeries on a lot of my family members and who lived a short drive from my house (good for me, since I couldn't sit in the car very long)..he really did a great job for all of them so I thought maybe he could help, plus his secretary told me that they fixed thrombosed hemeroids in the office if that was what it was...so I thought I had to try to do SOMETHING...this PAIN was ruining my life. Well to make a very long story short..this surgeon turned out to tell me that I needed major surgery down there...his opinion of my situation...very, very bleak....he said, I had internal AND external hemroids, a tight sphincter muscle, a very large fissure and that he wanted to remove all the hemeroids, cut my sphincter muscle to make it "roomier" and cut out and fix the fissure.. The nurse there (a real nut case) told me that they wanted to do the surgery immediately since I wasn't going to get any better and that I should expect great pain with this operation for at least 3-5 weeks and that they also expected me to call the office crying in horrible, horrible pain and that was something I just had to DEAL with...I was shocked to say the least...this nurse was so mean, so unprofessional and had to be mentally ill. She had no compassion at all. I left the office in tears, not only because of her harsh words, but also because they examined me in the worst way...jamming instruments and fingers into an already sensitive place. I went home and felt such hopelessness and didn't know what to do. By this time I had been experiencing this problem for over 2 1/2 months and figured I probably had to do this surgery and be in agony for the 3-5 weeks or be this way possibly forever. I wasn't getting any better so I scheduled the surgery....as I went to do the pre-operation stuff...blood test and EKG...(I have an overactive thyroid and fast heartbeat so they had to just check to make sure my heart was ok) I started having SERIOUS doubts about doing this surgery. I kept thinking, what kind of life am I going to have IF I have this surgery. I have kids, so I couldn't imagine being laid up in bed for another month on top of everything...plus I kept thinking...WHY was that nurse so mean...here I was in excruciating pain and she seemed happy that I was that way...I ended up canceling the surgery AGAINST this nurses opposition. She tried to tell my spouse that if I didn't get the surgery that day that the doctor couldn't schedule it again until three weeks later, even though I had just scheduled the surgery two days before and his schedule was wide open..he even told me..that it was easy to get the surgery rescheduled if need be.... I was so relieved to NOT have this guy do the surgery so I spent the next weekend with courageous detemination that I was going to do try the natural way of fixing all these problems, hot sitz baths, a diet high in fiber, stool softners and anything else that I could think of to give myself a fighting chance. I spent an entire weekend on the internet looking for my miracle cure...I was desperate! In the meantime, I made another appointment with the Rectal and Colon Doctor, that I was referred to earlier in the month...I figured why not get a second opinion..it couldn't be any worse then this last smuck. I didn't hold out much hope that they could do anything, but they got me in the next day after I called, so I figured I had nothing to lose, except the terrible pain. From the start they were unbelivably helful about my sitaution...the lady doctor was so kind and told me that she would just look from the outside and wouldn't dare examine me since she could see what she needed to see without hurting me further. Her opinion...I had a deep fissure, a sphincter muscle that was in a constant state of spasm and a couple of external skin tags, no hemeroids! She gave me some Nitroglycerin Ointment and told me to try it and if I didn't experience some relief within a week that I could opt for surgery that would supposedly only give me an average amount of soreness for two days and that I would be extremely better within five days. I didn't know what to say. I went home with the Nitro cream, was warned of the side affect of bad headaches and was scared to use it from what I heard, two days later I finally used it, with no headache. But it didn't work! I felt a tad less pain..but STILL the constant pain of going to the bathroom stayed with me. For weeks I had been using Lidocaine Jelly (a prescription) to numb the area a bit, so I think that is how I put up with pain for so long. But just last week I decided to go through with this new doctors surgery...I have had gallbladder surgery and two c-sections so I knew pain, but this surgery scared me more then all of those combined. I have a very high tolerance for pain, used Tylenol after my c-sections (no heavy painkillers) so I could tolerate PAIN.. but down there was a whole new ballgame. But I made the decison and stuck with it because the nurse kept saying that I would have instant pain relief, their goal was to loosen the sphincter muscle and cartarize the fissure. No big deal to them...but from my perspective, I was scared silly! The morning of the surgery was last Friday (October 29) at 10:30 AM... I went in, they gave me an IV...not horribly painful but uncomfortable and lead me to the outpatient operating room, 30 minutes later I was done and fully awake. Turns out that the DR. had to remove one of my external skin tags, since it was ripping into the rectum so bad that muscle was exposed (OW!) I'm thinking when I heard this....I am going to be in pain after this..that wasn't supposed to be done too! But at the point I felt no pain, because when under the IV sedation they gave me lots of Novocaine shots..but I was expecting the worst after I got home. But a strange thing happened..I got home and no pain, finally around 5 PM.. things started to come back on line..the Novocaine was wearing off and my butt started to feel like it was burning. The intensity got to be about average, nothing terrible but I still waited with dread for the moement all hell broke loose. I didn't take any pain killer to this point, didn't seem to need it. Later that night the pain stayed about the same, sore and a little burning so I decided to take a light pain killer and go to sleep and expect the worst in the morning. When I got up Saturday morning, the average pain became less...I even went to the bathroom, practically no pain...compared to the anal fissure pain, it was a breeze! I felt so good I even went to wal-Mart for four hours...my parents took the kids for the whole weekend with me anticipating being in extreme pain...my husband and I walked around and enjoyed ourselves, I was a tad sore but that's it. Today it is Sunday, two days after surgury and still going to the bathroom is easier and the pain is almost non-existent. My incision where they took off the skin tag is a little sore, crispy feeling, but other then that I feel remarkably better. I was so worried, cried for months over this and to finally do the surgery and to have this relief so quickly and so easily is unbelievable!!! I am still in a state of shock..I only wish I would have done it sooner..all that worrying for nothing. If you are going through the same thing, my advice is to find a really good rectal and colon specialist/ surgeon. I think my success is because they knew exactly what they were doing when they took me into surgery. If I would have gone with the general surgeon he would of destroyed me, possible for months. Don't be scared or feel hopeless...there IS relief, just trust your instincts and go with WHO feels right if you end up needing surgery. For me, I KNOW all those months of praying to GOD is what found me this doctor...I spent countless days sitting on my bathroom floor crying..God was listening and told me what to do but I was too fearful to do any kind of surgery. I just wanted to be healed....and I am finally! I hope this story gives you inspiration to get better and to know you are NOT alone, no one should EVER go through this kind of pain...God Bless and Good Luck...there is HOPE!

 
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Old 11-04-2004, 08:40 PM   #2
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Re: Anal Fissure Pain and Recovery

I am so glad to hear your story being almost pain free now.
A good Dr. is really the key. Did they ever say why you developed a fissure?

 
Old 11-04-2004, 10:35 PM   #3
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Re: Anal Fissure Pain and Recovery

I developed a fissure because of my diet and probably stress mostly. I am in the process of taking fiber and eating better. It is not an easy issue to face or deal with..there is alot of weirdness about this area...but I can tell you one thing... I will definitely NOT ignore a problem like that again. I suffered needlessly because of the fear associated with that kind of surgery. Hear it wasn't all that bad. I am so glad I went and had the surgery. I am NOW one week since surgery and am feeling so much better...I can go to the bathroom with very little discomfort and feel as if my life is getting back to normal. If you or anoyone out there is faced with a similar problem, try do do your best to handle the problem conservatively first without surgery, but know that if you do have to face surgery, it won't be an easy choice, but it is A lot less worse then it really sounds. I felt like having this surgey was such a HUGE thing over my head, I dreaded it, feared it, like nothing else and hear it turns out..I really blew it out of proportion. I don't know if I had luck on my side but the surgeon and nurse practioner told me that it would be a little painful for the first day or so and then it would be better by five days after surgery. Of coarse, me being skeptical...I didn't believe them but they were right. In another week I am going back for my follow up and am excited to be getting better. I really don't know completely WHY I got it so bad..never have I ever experienced pain like that...but STRESS does play a huge factor in things. Hope that answers your question.

 
Old 11-06-2004, 05:48 AM   #4
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Re: Anal Fissure Pain and Recovery

What did they say about the spasms?

I have 2 fissures right now. A medium-sized one and a small one on the other side. I'm taking Diltiazam, and it has compltetely eliminated the bleeding, and virtually all of the pain druing a bowel movement. But I still get spasms down there from time to time, and a lot of itching.

Did the doctors say what to do about the spasms?

 
Old 11-07-2004, 10:11 PM   #5
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Re: Anal Fissure Pain and Recovery

The spasms I got...were taken care of with the sphinterotomy surgery..they loosened the muscle.. I thought this would be painful but it turned out to alleviate the spasm immediately..and no more pain immediately. Everytime I would try to go to the bathroom, it was like toothpaste coming out since the spasm left that area down there practically clenched up..I definitely DON'T regret the surgery...some people who are asking about skin tags. I had one removed during surgey and no pain from the removal much at all..just a tad itchy. It was the fissure that was under it that gave me a little pain. I am over one week, two days after surgery..and I can sit down with no pain and going to the bathroom is not bad at all...hope that answers some of your questions....
Also, if you are in any kind of pain with the spasms or skin tags, don't fear the surgery, just get a really good surgeon..I had really good success...good luck out there...

 
Old 11-09-2004, 07:11 AM   #6
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Re: Anal Fissure Pain and Recovery

the surgery doesn't sound like a big deal, but I just started a new job, and I don't want to take time off. Ugh.

I woke up last night with a cramping, "charlie horse" sensation around the sphincter. It was really painful. Seems like I was having a spasm and cramping. Did this happen to you?

God I wish this would ehal already. I have the bleeding stopped, but the pain and spasms...

 
Old 11-09-2004, 10:41 AM   #7
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Re: Anal Fissure Pain and Recovery

Hey chiggins...yup that is exactly what happened to me...the spasms were so bad, very painful. And going to the bathroom, even when I HAD to go, I couldn't....I had this tightening pain that literally felt like a huge knot IN there and externally I felt like I was being pinched. And the burning was so intense, almost all day! I agree with you...I wanted it just to heal up quick, but for me..it didn't...I hated that feeling, not knowing if it would EVER go away. If you just started a new job, that is a tough call for you. Have you tried the infamous Nitrogylerin creme? It is supposed to increase the blood flow down there so it heals and relaxes...I have heard alot of people get really bad headaches..I didn't get any, probably because I am on high blood pressure pills for my fast heartbeat (thyroid related) You can try it if you haven't already, maybe that would help you. Obviously in my case, nothing worked so I was FORCED to go have the surgery. I was really afraid, but compared to the pain with the fissure, tight spinchter..I'd do the surgery again in a heartbeat! I still am healing, and the fissure is taking a long time to heal..but I feel like my life is more normal then it has been in months. If things don't get better for you, review ALL of you options. Obviously everyone is different so you have to do whats right for you. Just don't be like ME..and wait till its so bad that it STOPS your life...I don't know how severe you are..but pain like that isn't worth hanging on to...get your life back, you shouldn't have to live that way!!! Good Luck!

 
Old 11-09-2004, 10:56 AM   #8
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Re: Anal Fissure Pain and Recovery

I'm taking Diltiazam right now, and it is helping. Within 24 hours of starting the medication, the bleeding stopped, along with some of the pain in-between bowel-movements.

I didn't try the nitro. The medication I'm on does the same thing with no side-effects.

I've found that Colace (stool softener) is a REQUIREMENT. I went off it 5 days ago, and my symptoms got a whole lot worse, even though my stool was still pretty soft. I think that sometimes the stool feels soft, when it is actually abrasive. The burning afterwards is the key.

If I could shake the spasms, I would be a whole lot better. My doctor just gave me another prescription to help with that (Proctisyl?) I haven't taken it yet, but I'll keep you updated.

It's amazing how much pain and misery something like this can cause!

 
Old 11-09-2004, 01:09 PM   #9
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Re: Anal Fissure Pain and Recovery

Chiggins,
Yup, this fissure/spasm and everything else that goes along with it is a REAL pain in the butt, literally. If some of your meds are working..you are doing a lot better then me..nothing worked for me. I too am taking stool softners, and fiber,
still! I don't ever want to get another fissure again. Supposedly after the surgery it is more difficult to get another fissure. But because of the pain I was in, I don't want to take that chance, so I have changed my diet BIGTIME and am doing a lot of things I didn't do before. Keep positive though..it sounds to me like you might have a fighting chance in healing yourself. If something is working, thats a good sign. I waited and waited and nothing really worked..I got so depressed since this problem is so painful! I hated to get up everyday to face the same thing, pain, burning, severe itching, cramping...you know what I am talking about, it was miserable...this thing can really ruin the quality of life. I will be praying for your recovery..I'd like to see you whip this thing...

 
Old 07-20-2007, 04:54 PM   #10
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Angry Re: Anal Fissure Pain and Recovery

Hi there. I am so grateful to have just read your post.

I am 44 year old mom of 3. I have been suffering for over 2 months now and just went to the doctor. I was diagnosed with an acute anal fissure, skin tag and a pile (?) not sure if that is the same as a hemmoroid..... There is intense pressure and rectal spasms too.

Everything you said in your post describes me to a T. My only relief is when I sit in the bathtub. I just started the nitro cream (with bad headaches) 2 days ago. I am taking fiber, stool softener, drinking water.

I can't walk. I am miserable. My life is taken over by this pain.
I am so afraid of the surgery. The part that scares me is that part that says some patients can't hold their bowels after. I work in an office. Will I pass loud gas?

It hurts so much I would do anything to make it better, but am so afraid of the surgery. I sit in the tub and lean on the wall and cry and cry. I can't have any summer fun with my family....

Your post made me feel there is hope.... I am praying the cream brings me some help.

 
Old 07-21-2007, 06:38 AM   #11
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Re: Anal Fissure Pain and Recovery

for wathout!
....wow, so all it took to solve your problem was removing a tad? the dr. didn't fix anything else? wow..wow..wow. great to hear !

i think a tad that is what caused my fissure not healing correctly. I am going to post a new thread regarding my situation in hopes that some one on this board can give me valuable advice.

 
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