I have been dealing with an anal fissure for years, and finally saw a specialist a couple of months ago, who recommended high fiber diet, fiber supplements, soaks and stool softeners, all of which I did and have been doing. Unfortunately, my fissure has not healed. I went back to this same specialist again, who...during our first appointment said that there were other things we could try if the diet didn't heal the fissue...and he said that he thinks I should do the surgery.
This scares me a lot....the possibility of incontinence, for someone who is in her early 20's, is absolutely terrifying. I know the chance is small, but it really bothered me that he recommended surgery so quickly.
Ive noted that surgeons seem to have no bedside manner whatsoever, and it really bothers me. This guy is very to the point, very factual, and not very emotional at all. I asked about other options, (nifedipine, botox, nitroglycerine) and he said that they were all more trouble than they were worth.
I am getting a second opinion from another doctor at a different practice, but what if I DO end up having the surgery???? I am scared out of my mind, but i am getting SO tired of having to deal with this day in and day out.
I need to make a decision soon, because my insurance runs out in april and then I'll have to get crappy insurance through my university. I am hoping that this second opinion is going to help, but I cant help but be scared. Surgery itself is terrifying enough, but then you think about having someone cut down there...and realize the possible consequences, and its almost enough to make you opt out of the surgery...
Does anyone have any advice, or could you tell me about your experiences with different treatment options???
I too am young, 23 in fact. I developed an anal fissure after having a baby this past August. When your doctor tells you that the other options are trouble (nitro, etc.), I believe he is right. I went 4 months on medications that did nothing for me. I finally had a sphincterotomy on December 13, 2006, and I am honestly doing 100% better!! No more pain, no more blood. I was terrified to get the surgery done, and wanted a second opinion. But was at the point where I just couldn't take it anymore. My doctor sounds a little like yours, as far as being straight to the point. But believe me, everyday I thank God for him. Having the surgery done is a scary decision, but I believe I made the right choice. I think you should consider having it done, especially since you've been dealing with it for years. If it makes you feel any better... I feel like I did before having my daughter, I feel so much better. And there is zero incontinence, too. That was my main concern. I hope everything works out for you. Take care and keep us posted!
I understand your fear of having the surgery to fix the fissure. There is alot of irony to be found in having an anal fissure. You have to get cut to heal a cut, go figure. Anyway, I developed one this time last year and lived with it until I finally agreed to have a lateral sphincterotomy on Aug. 18, 2006. I could not take living like that anymore. I tried everything; medications, stool softeners, diet, fiber supplements and sitz baths and my fissure would begin to heal then reopen. After several months of this I had had it and wanted my life back. I was tired of living in a tub and more tired of being scared to death to sit on the toilet because I knew it was going to hurt. After having the surgery, I wondered why I was so afraid and waited so long. The recovery was nothing compared to what you live with everyday when you have the fissure. My first BM after surgery was two days later and guess what, NO PAIN! I have been pain free since and have my life back. I'm 62 pounds lighter since I practically had stopped eating when I had the fissure, and I have managed to maintain the weight loss and eat a high fiber diet everyday. I still take a fiber supplement and stool softener at night. I drink plenty of fluids daily and life is great. I hope you will not agonize too long over deciding whether to have the surgery or not especially if your insurance is going to run out in a couple of months. Just make sure that you have a surgeon who is good. I did a lot of research when I chose mine and he had 22 years experience doing this and had never rendered anyone incontinent. I don't have problems with incontinence. At first, a little gas might get by but never any more than that. I took 4 days off of work and was rght back to work on the 5th day, part time for two weeks only because sitting for long periods of time can be uncomfortable at first and I work at a desk on a computer everyday. Don't be afraid. You will have your life back and it will be great. I will keep you in my prayers.
Hello, I too had the surgery done (LIS). I was so scared!...I put it off for 2 years.
I kept using the Nito and high fiber diet hoping it would work, and then 2 years later my Doctor said to me you have no other choice.
I was so scared, But I could not take the pain anymore. Now I'm so glad I had it done! I feel 100% Better! I don't know why I waited so long. I forgot what it felt like to feel normal again. The pain just became a way of life for me.
I say go for it! You will feel so much better. I felt better the very next day.
But make sure you have the surgery done by a colonrectal surgeon only.
This is want they deal with all the time.
I really hope things work out for you...I know what you are going through.
I have been suffering from a fissure for about two months. I have been told that if it is not healed by the end of this month that I will need to have the surgery. I am petrified of the surgery. My biggest fear is the incontinence. I know that none of you have had problems with it but did you ask your surgeon if it will change your bowels habits later in life when you are in your 60's, 70's or 80's? Basically what I am saying is, will it cause you more of a chance to be incontinent later in life???
Oh My....I can't even tell you how worried I was about incontinence! I'm only 33 and I work full time. I was so worrried about loosing control at work or in public. I talked to my Dr. And he told me that he cuts very little. And just one of the 2 muscles you have down there.
The day of the surgery, I told him to cut even less and I would come back if I didn't heal. He told me to relax..it will be fine. In all his years of being a surgeon, This is the only surgery were people come back to thank him for it, And he was right! I did.
I still have full control and can hold everything in. I don't think their will be problems later in life, But That comes with age anyway. I will cross that bridge when I come to it. But for now, I'm pain free! and I wish I would have had this done 2 years ago. I would do it again, I thought it was a simple surgery but it was the only surgery I every had. Just have your Dr. put you under so you don't know what going on. Oh...I also had to get a hemmroid banded at the sametime and was fine. I felt better the next day. Their was a little brusing..But the pain was worse before the surgery.
Please be sure to see a colonrectal surgeon though.
. If you have anymore questions, I will be more than happy to reply.
I know what everyone is going through here.
I am always glad to hear about positive LIS stories. I know that a lot of people say that LIS worked wonders for them but what about if you have already had a rectal surgery. I am worried that because I have already had a hemorrhoidectomy and feel that my chances of success with LIS won't be the same.
Do you all feel that you have completely healed up your fissure and you don't have any more problems with it? Do you feel normal down there again??? Did your surgeons tell you to continue to be careful with diet etc. because the tissue down there is still susceptible to tears until it strengthens up more? Do you have to go back to see your surgeons periodically for him/her to check your healing?
Hello, I had my surgery done Dec 28th. It's been one month today.
I feel great! I can't believe how i let myself suffer 2 years.. I do still take citrucil tablets for fiber.
I don't have a scheduled appt with my doctor. He told me to schedule if I feel the need for it. But I don't feel the need to see him. I however did call to thank him. I felt better the very next day. I also did have hemm
banding done at the same time as the LIS.
I don't worry about the incontinence...They cut so little. If you have anymore questions...I would be more than happy to answer them.
I know how all of you feel..I was so afraid! thats why I put if off for 2 years.
I could kick myself for not doing it sooner. Don't worry about the incontinence...thats a very slim chance and you have 2 muscles down there and they are only cutting the one very little.
Be sure to have a colonrectal surgeon do the surgery
Hi I had surgery for fissure yesterday after trying other treatments gtn cream and found myself still in lots of pain the pain now is nothing compared to what it was dreading first BM i`but am confident will be ok cant be any worse then it was taking stool softners hopefully will be helpful i am glad pain over at last so far i wolld recommend surgery when other treatments fail it left me no other choice i am glad now will start to enjoy life again painfree hope this will help others along the way prayiny for you all
well the reason I got a fissure to begin with was because I was always so constipated, so for me the risk was near impossible of becoming incontient...So I did the surgery and im still somewhat in pain but nothing like before..its not worth suffering do the surgery