anal stenosis - Bowel Disorders Message Board

nowimonline · 10-05-2006, 03:27 PM

anal stenosis :
I was wondering if anyone here has this problem. I believe that I now have it due to a hemmorioductmy(sp) that I had alot of problems healing from. I had surgury 13 weeks ago and although I am feeling better, I still have a little pressure almost constantly. when i am not taking medamucil and its my day to go # 2 i usually go maybe 3 times and they are not stools like I had before my surgury they are thin and about 3-4 inches long and quite a few of them. and I do have some blood almost every time I go to the bathroom.
I hate to go back to the surgon and have him do an exam to tell me what I probably allready know. Im just wondering what I can do and if this may clear up on its own with time!

Harry · 10-06-2006, 12:41 PM

Well-- as youknow anal stenosis is the narrowing of the anus usually caused by hemorrhoid surgery-- the scar tissure that is formed.
I think it's best to have your surgeon have a look but after what he did -- like me I never wanted to see him again. But -- it does not clear up on it's own -- you just need a larger anus to pass normal size stools.

You should be taking psyllium to have a well formed stool.

nowimonline · 10-07-2006, 10:12 AM

Hi Harry thanks for your reply.. i was begginning to wonder if I was going to get any reply's. Anyway I will try that stuff that you mentioned. I sometimes take a teaspoon of medamucil at nights and it helps to give a somewhat formed stools nothing like what I had before though. I remember about 4 days or so after my hemm surgury I had a bm that was of normal size and VERY long and I didnt have to push whatsoever after that I had straight diarrea for about hmm at least a month. everyday usually 3, 4 times a day. Then when I finally cut everything out (stool stofners and medamucil) things got a little better but still no where near normal. My stools are like 4 inches long and skinny and alot of them So thats why I think I have this condition. Anyway... my next question is what kind of treatmet would they do for this stenosis? Do you know?

Harry · 10-07-2006, 01:39 PM

Yes----Well, if you really have a narrowed anus then it needs to be enlarged. But, you need an EXAM first-- After you are examined and if the narrowing is caused by scar tissure then -- it needs to be removed--- surgically but it is an Office/ clinic type procedure and then the anus is dialated. You can't live your life like a constipated person.

I have not had it done and I am sure it's not a pleasant experience.

I take my fiber twice daily-- so I have normal stools for a long time now. I need about 8 grams of psyllium daily for normal stool with the way I eat.

I would suggest that you first give fiber -- Psyllium /Meamucil a try to see if you can produce normal stools with it--- psyllium is a bulking agent by absorbing fluids and don't take a stool softener.

You may not know it but too much INSOLUBLE fiber in your diet will produce BMs that are narrower and thinner and loose. I read about it alot on this board. You really need a combination of soluble fiber and insoluble fiber ---25 to 35 grams daily. Also make sure you drink enough water both with psyllium and daily so you don't get constipated.--- That is a major cause of hemorrhoids in the first place and you can get them again!!!

Insoluble fiber is all fruits and veggies (except the root veggies like potatoes, carrots, beets and turnips even chicory root called Inulin ), all nuts & seeds and the out side part of grains (bran) and the outter part of beans & peas.

All meats, seafood and all dairy products contain NO fiber but of course you need the protein.

I hope this helps~~~~Harry

PS -- Most normal people don't know what stenosis is but it is frequently miss diagnosed. And, If you have anymore Questions -- Ask-- I have been here a long time.

lodgen · 10-08-2006, 10:08 PM

harry is right to a point,i been in that situation and fiber is great but if your
rectum is too tight or narrow,the stool will be to big to pass and you will bleed no matter what. you will need to address two issues first is to eat
a diet that has enough for stools to pass so you will not bleed, take colace
so the stools will pass with out bleeding, protein shakes, salads ,veg soups
next see a colorectal surgeon i would do surgery to relax the syphincter instead of dilation, because you have scar tissue and it has to bra removed . a good surgeon will explain this too you ,you are cause more scarring every time you bleed ,get it fix right away.