I have been reviewing the thread between you and Rubydee12 and it was so helpful to me. I am hoping you can answer some questions I have. I'll tell you my story first. I ended up with an awful anal fissure in March, after trying many things and NOT wanting to have surgery, I finally was able to heal it using a great ayurvedic treatment from lifespa.com. I consulted with the doctor there and he really helped me get control of it. But then after 6 weeks I had a relapse and then another after 6 more weeks (after doing great each time, one day I would just get an explosive BM) and then when I thought I had a third relapse another 6-8 weeks later, it turned out the fissure really was healed (confirmed by my medical doctor who is also pretty holistic for an MD). She felt that I did have an allergic reaction. Just a few weeks ago I had started doing NAET treatments for allergies I never knew I had, and after this first reaction they kept coming out one after another as a result of my immune system being so low. I also had two terrible bouts of parasites, it was horrible. I have been working through and actually eliminating each allergy (if you are not familiar with NAET go to naet.com) but each allergy affected my digestive system because that is my weakest point right now. So each time I had an allergic reaction I would get a very major adrenaline attack, lots of gas and then the next day a not so great BM. Then after being treated for the allergy the BM would quickly go back to normal, until the next allergic reaction. After several of these attacks over a two month period, I started feeling severe pain and burning again when passing stools again, but it didn't feel like the fissure so I did not recheck it, I thought it was related to the allergy attacks and my NAET practitioner kept working on things that would help it, it seemed to help in some ways but not with the burning pain. I went several weeks hoping it would clear up, then somehow I convinced myself I had colitis. I scheduled a colonoscopy and the night before (just a few days ago now) I had a breakthrough in my mind while going through the prep and though, oh my IT IS the fissure again. Well, my colonoscopy went great in the sense that they said I had no fissure, no colitis, and no polyps so no cancer. BUT they found a 1/2 or so "nodule" as the gastro called it, he said he had never seen one before. (surprising that a gastro would say this but that is what he said). The next day I got them to fax my medical record and this is what he wrote in addition to saying the colon was normal and in great shape "the digital rectal exam was abnormal. Finding include tender movable nodule" which is what he had told me. But next to the photo it said "Rectum: abnormal, movable nodule? - ?hypertrophied papilla vs other". So at least I had something to search for
it sounds like you are like me, had a fissure that had healed. I have been told my fissure is not there anymore but this hypertrophical papilla is and in the Gupta article is sounds like "they can be found in isolation" so that I believe means that you can have one without the fissure being broken open again? Did you doc do an exam to see if your fissure had broken open again? It sounds like he may not have and that is why you are not sure.
My concern is from all the research that I have done is that I can't find anything to say that the surgery for taking off the papilla is any different from a full fissure surgery which I really prefer not to do. I have the same concern you do about losing control of my BMs, but did find in one article that with the way most docs do it now there is only a 5% chance of that. Overall I just don't want surgery because it is trauma on top of trauma, and I wish there was a holistic approach and will talk on Tuesday with my ayurvedic doc and see what he says, he healed the fissure, so maybe???
I too am scared to have the LIS done for fear it could turn out bad and am trying to find if the surgery for the HP only is the same? Do you know?
My gastro was not very good, first he told me he had never seen one and didn't know what it was, just called it a nodule and said I needed to see a surgeon and have it "taken off". Luckily I asked for the report to see he seems to have known what it might be in his writeup, but maybe he has no experience with anal fissures or this level of an anal fissure? Then he referred me to a GENERAL surgeon instead of a colon/rectal surgeon, I am shocked about that and will cancel the appt on Monday and drive across the state 4.5 hours to go to a good colon/rectal surgeon. I am going to make a bunch of calls on Monday am and ask enough questions of each to find someone who has a lot of experience in this procedure and maybe can explain that it is a different procedure if you don't still have a fissure. Was it hard for you to find someone who really knew what they were talking about and who had done a lot of this surgery?
Finally, what have you decided to do? I have to do something quick because mine is very painful and is really wrecking havoc on my day to day life and ability to get anything done at work or home.
Since you have been dealing with this for three years, have you ever considered that you may have allergies? I would check out naet.com and adrenalfatigue.org which have really helped me get control of my allergies, and therefore control of my bowels. I am convinced the reason I have this level three part of the fissure but no actual fissure (after all the reading I have done and with what my ayurvedic and NAET docs have said) is this -- (1) I was very worn out early this year from years of working too much and it dramatically lowered my immune system and adrenals, (2) resulting in an awful cough that wouldn't go away for 2 months, (3) then I had hemorrhoids for months, (4) then the fissure so, (5) my digestive system and usually normal bowels were now totally out of wack. The ayurvedic doctor helped me immensely (lifespa.com) but it didn't get to root of the problem which is I that (6) have had all these food and toxic allergies and parasites for years and I was able to fight them when I was stronger, but after the bout with the bad cough I could not longer fight them because (7) my adrenals were no longer responding to the stress of allergies and everything else, and they started coming out. I would get totally back to normal after each relapse, have totally normal BMs and then one day it would be horrible, so I went to see the NAET specialist and my MD thought that was what I needed too and my ayurvedic doc also agreed that that might help me get to the "root" of the problem. While I have been getting control of my allergies, it is just that all the allergic reactions and the horrible two bouts with parasites just beat up my rectum so bad that it caused this terrible inflammation and the papailla to become enlarged. My NAET doc also said so many of my cells and tissues were just not working problem (she calls them broken) but she has worked on all that and I feel great in general, except for this pain.
I am also trying a formula called ALOEetlite found on aloeelite.com which sounds worth trying as it is a great anti inflammatory but totally natural without side effects. Check out aloeelite.com. I just started it today based on my NAET docs suggestion that aloe is an amazing healer and this one is totally for digestive and rectal issues like colitis, etc. I can tell I have a lot of inflammation and even though I am taking ayurvedic and Chinese herbs it is not enough to battle what I have had to battle.
So long story short, I thought I would share with you what I am going through and see if this is any help to you and if you can answer those questions I posed above.
Also do you understand the that the hypertrophied papilla can then also become a fibrous polyp if the inflammation continues to build up.. I have read about that but don't really understand if that is a fourth stage or what? I have only had this for about a month so believe I am not at that stage.
Stay positive, keep researching and read the book "The Secret" if you haven't already, that has also helped me get through this as I know I will be healed soon because I totally believe I will be, but just need to determine the right way to go and get a better understanding and hearing what others have gone through is very helpful.