I hope someone can answer this, I have previously posted on here with no replies which is frustrating!
Basically, around the middle of December, just before I went away, I had a particularly hard bowel movement which seemed to do something to me, I assumed it was piles as I've had that previously although it was relatively minor. When I got back I went to my GP and he diagnosed an anal fissure, and gave me rectogesic ointment and put me onto lactulose to soften the bowel movements. The thing is he kept asking if there was pain/bleeding during a BM, there never has been any. The pain/discomfort is at all other times of the day when sitting down, it's just very dry and tight.
The rectogesic he told me to apply 30 mins before a BM which I found impossible, and after reading on the Internet it seems I should have used it more like a twice daily 'cream' rather than only before a BM. It also gives me very bad headaches.
So a month passed and I went back today, all he said was it was still there though on a scale of 1-10 of seriousness of a fissure it's about 2-3. As I was complaining about the discomfort of sitting etc, he prescribed two tubes of Anusol HC and some anti-inflammatory tablets...and never made it totally clear whether I continue with the rectogesic or not.
Would the fissure still be able to heal as long as there were constantly soft stools, without me using rectogesic? He wants me to go back in 2 weeks. I'm just confused with his advice-he does say I could go to a surgeon and they'd be more than happy to 'use a knife' but he thinks it's just not serious enough and to stay away from that. However, I hate the discomfort and having to think about it all day...and having to apply creams to my *** throughout the day which is particularly awkward when I'm out! Just how long am I supposed to wait? Since I had a pile I was so scared of it happening again I've totally changed my diet, and never ever am constipated so am very annoyed I even have this. The thing is in the past GP's gave poor advice about that and just gave creams etc which were useless so I'm a bit dubious.
I totally understand your frustration. I have been struggling with a fissure since August of 07. I thought it was piles, but the first colo-rectal surgeon I went to said it was a fissure. I was in so much pain that I could not think of the right questions to ask, and the guy never gave me correct information about the diltiazem ointment he prescribed. He also prescribed the wrong strength. I didn't find out how bad he was until a second trip to him, when I went in with moderate pain, and walked out really hurting.
I found a second surgeon, who had worked on a friend the previous year, and he is much better. We tried the correct diltiazem, but the fissure is now cronic and it didn't work. I am going in for surgery on Monday. I have been assured by several people that it's a relief once it's done, so I am looking forward to relief and healing. I am bad with needles and pain, but I must deal with this.
My suggestions are: ask as many questions of your doctor as you can, to satisfy your concerns and fears. Write them down ahead of time if you need to. I often forget one or two. Check references for your surgeon if you can with a state agency or insurance company. Reliaze that if your doctor gives you a complete exam and finds nothing but a fissure, the fissure is not a serious condition. It just feels that way. I know that doesn't make the pain any less, but you have one less thing to worry about.
Fissures are common even though people usually don't talk about them, for obvious reasons. Like I told one friend who I discovered had gone through this, when's the last time someone greeted you with "Hey, good morning. How's the anus today?" In talking to close friends, who care about me and are close enough to talk to about this, I found that 2 had already been through the surgery for fissures, one had 3 surgeries for an anal cyst, and one is going through it right now. I was surprised. So, you're not alone. Find a good doctor and ask lots of questions. God bless.
Sorry to hear about your painful experiences. I have been living with one for the last 10 years but its in the the last 3 years that it made me cry. I finally went to a rectal surgeon who tried sitz bath treatment and Nipedipine on me. He even cauterized them a couple of times. But nothing works. I am in pain all time day and night and no painkillers work. So finally I have submitted to surgery and will be having one in 2 weeks.
So I would suggest go to a reputed rectal surgeon instead on a GP. You might get a better opinion on your fissure.Try sitz bath to relax the spincter, stool softners before bedtime, and as always lots of water. But if it still hurts and bleeds then surgery may be the only solution