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Old 08-16-2010, 02:37 PM   #1
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Anal Fissure that comes & goes?

I was diagnosed with a fissure a few months ago. The pain has off & on been horrible. I am scheduled for surgery next week. My question is that there are days that my BM's don't hurt at all. I've actually been feeling pretty good for the past 3 days, no pain during or after BM's. Has anyone else experinced this coming & going of pain with fissures? I just don't want to go into surgery if I don't need to. I don't have any problems with hard stools, my BM's are always soft so I know it's not a matter of hard stools. I have a few days of bad pain then a few days of no pain. Any advice much appreciated!

 
Old 08-16-2010, 11:37 PM   #2
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Re: Anal Fissure that comes & goes?

I have a small one that comes and goes. I use proctocedyl ointment and it helps a LOT.

If you're having surgery, has it been infected or is very large?

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Old 08-17-2010, 08:25 PM   #3
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Re: Anal Fissure that comes & goes?

I had anal fissure for over a decade that would come and go. The first episode was the absolute worst. It would flare up once a year or so. But the past two years it was more frequent. The pain would be bad but taper off after a couple days only to return a few days later. Sometimes I would go a whole month with no problem. Sometimes I wouldn't have a lot of pain with bm but a lot of itching/burning later especially with physical activity. I have IBS and constipation. And lack of water and fiber. Perfect storm. But since you don't seem to have that problem, do you know why you're getting the fissure? (you don't have to answer that but maybe that will help with addressing your treatment options)

If you haven't had the problem for a long time...have you tried other treatments first? There are threads about fissures/treatments/surgery that you might want to check out.

Last edited by holdingon; 08-17-2010 at 08:29 PM.

 
Old 08-18-2010, 07:40 AM   #4
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Re: Anal Fissure that comes & goes?

I have the same problem. Mine started 10 years ago. It has been on and off ever since and each time I have a flare up it seems to be worse than the last one.

It lulls me into a false sense of security when it feels as though it has gotten better only to return with a vengence.

I'm seeing the colon-rectal surgeon on Friday about scheduling surgery. If I were you, I'd go ahead with the planned surgery.

 
Old 08-18-2010, 10:12 AM   #5
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Re: Anal Fissure that comes & goes?

Quote:
Originally Posted by holdingon View Post
I had anal fissure for over a decade that would come and go. The first episode was the absolute worst. It would flare up once a year or so. But the past two years it was more frequent. The pain would be bad but taper off after a couple days only to return a few days later. Sometimes I would go a whole month with no problem. Sometimes I wouldn't have a lot of pain with bm but a lot of itching/burning later especially with physical activity. I have IBS and constipation. And lack of water and fiber. Perfect storm. But since you don't seem to have that problem, do you know why you're getting the fissure? (you don't have to answer that but maybe that will help with addressing your treatment options)

If you haven't had the problem for a long time...have you tried other treatments first? There are threads about fissures/treatments/surgery that you might want to check out.
I've tried several different ointments, increased fiber, warm baths, etc. The only thing that gives me any relief is the bath. Ohhh how I love my warm baths now. Sometimes I drive home on my lunch hour just to sit in the tub for 5 minutes so I can make it through the rest of the work day. It sounds like we have similiar experiences. I go days without too much problems then BAM, back with a vengenance. This first flare up was indeed the worst. The burning is enough to make me crazy. The docs are not sure what caused mine, other than I've had bouts of diarhhea for awhile. They are doing a colonoscopy next week too, to rule out IBS or Ulcerative Colitis. I am planning on going ahead with surgery so wish me luck!

 
Old 08-18-2010, 10:13 AM   #6
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Re: Anal Fissure that comes & goes?

Trystme~ I'll let you know how my surgery goes & let me know when you get yours scheduled. I'll be anxious to share my experience with someone who is going thru the same thing!

 
Old 08-18-2010, 09:06 PM   #7
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Re: Anal Fissure that comes & goes?

Diarrhea can certainly lead to fissure. Good to have those follow up tests though. Continue to love the bath after your surgery! They will recommend lots of sitz baths but the tub will probably be more comfortable. Personally, I hate the bathroom now lol

Good luck with your surgery and recovery!

 
Old 08-19-2010, 11:01 AM   #8
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Re: Anal Fissure that comes & goes?

I was diagnosed with an anal fissure after bouts of pain in the backside. After some initial typical fissure treatments the pain started to come and go so I provaricated for ages about the surgery and thought I could 'manage' it. As I have an internal J-pouch following colon removal the consequences of any sort of incontinence didn't bear thinking about. I also read from other forums from people with other gastro problems who had been informed by their consultants that LIS is not an appropriate solution for people with bowel disorders.

Anyway, after another flare up I decided that the thing to do was to get a second opinion so I researched a bit and identified a surgeon who both specialised in anal fissures and colo-rectal surgery and went to see him.

His diagnosis was completely different and basically I was told that not only did I not have an anal fissure but the the LIS surgery would have been a disaster for me. Apparently, frequent soft/loose stools can lead to skin problems in and around your rear end which can give symptoms very like a fissure but which have to be treated completely differently. The symptoms also come and go.

Anyway, I've been using the treatments suggested by the second consultant for a couple of weeks and I'm already totally pain free - not just the serious during/post BM pain but also the constant niggly, scratchy, uncomfortable feeling that hung around. The treatment has involved simple things like using aqueous cream instead of soap to wash my bum, using babywipes to clean-up after wiping following BM, Metanium nappy rash cream as a barrier. If that doesn't work in the longer term there are steroid creams/suppositories to clear up the infected/damaged skin.

Unless you have total confidence in your surgeon that it is definitely a standard anal fissure and that he/she has properly understood your underlying existing condition (IBS) I'd certainly recommend getting a second opinion before committing to getting your arse cut. I'd try absolutely everything before resorting to an irreversible surgery.

 
Old 08-25-2010, 06:05 PM   #9
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Re: Anal Fissure that comes & goes?

Update!!

Colonoscopy on Monday. A few polyps removed, everything else went fine. I was really dreading the bowel prep but it wasnt near as bad as everyone had said.

Surgery yesterday at 2:00, went in the OR at 1:45 and was home at 6. Had a little problem with anesthesia making me vomit but other than that, no problems with surgery. Actually felt pretty good at home last night. Ate a little soup and crackers and just laid around. Was in nearly no pain last night. Slept very good. Woke up this morning, mild pain when sitting & moderate when standing or walking. Had my first BM this morning, was very soft and had very little pain. Pain has increased through out the day today but still is really no worse than the fissure itself. Have been taking my pain meds and soaking in the tub every few hours. Also using a lidocain ointment and gauze to absorb the discharge and keep the area dry. Hopefully this is the worst of it. Doc and nurses said the first few days would be painful so Im hoping that tomorrow does not bring more pain. Will try to update tomorrow!

 
Old 03-28-2011, 07:40 AM   #10
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Re: Anal Fissure that comes & goes?

I had an anal fissure incident in November 2009. I thought I was going to die afterwards. The pains was excruciating....like 9/10 in level....even surpassing 10. I am a grown male in my forties and I cried and sobbed like a baby for two weeks. I did home treatment and visited a GI doc. After an exam, he recommended that i use stool softeners and increase fiber and water. After about 3 weeks it cleared up.
Now I, occasionally experience re-injury and pain. I have been in light pain for the last few days. I have found some relief in Nupercainal Ointment. I am considering LIS surgery. I am tired of living in fear of this. How bad is the pain afterwards?

 
Old 03-28-2011, 08:58 AM   #11
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Re: Anal Fissure that comes & goes?

Wavy,

It's been awhile since I've been on this thread but somehow I was notified by the Health Boards of your post. Anyway, I gave a very detailed play-by-play of my LIS surgery.

Here's the deal. I know you will, but DON'T worry about it.

I battled this fissure thing for the better part of two years and I did EVERYTHING to avoid the dreaded surgery. There was times I thought I cured myself only to end up back on square one all over again. It was by far the most miserable two years of my life.

I finally caved in and had the surgery done and I'll tell you what, the day OF the surgery I was in some advanced pain but it was no different than the pain I experienced pre-surgery. Same report for the following day. I did everything I was told to do and took many warm sitz baths. However, I was not making the progress I thought I would and suspected that I may have an infection at the surgery location. I went to the emergency room and the following morning, I was back on the operating table getting that resolved. From that point forward, it was blue sky. I began to heal in what I consider record time.

Medically, it's the BEST dang thing I ever did. I was foolish to resist my docs surgery recommendation. I should have proceeded and got it over with.

Do you know why I resisted the LIS surgery? These (and other) forums. I read all the horrible nightmare stories and it scared the living hell out of me.

My theory is, MOST people do not go on discussion boards to talk about this sort of thing and when they do, they have some bad news to report and they are looking for advise and a support system. I feel that 99% have GOOD surgeries and really have no reason to be scouring the Internet researching and talking about LIS.

I just remembered the hellish ordeal I was through and the surgery cured me.

Get it done and don't look back..........literally.

 
Old 03-28-2011, 09:00 AM   #12
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Re: Anal Fissure that comes & goes?

Wavy,

I FOUND MY OLD POST AND RE-POSTING HERE FOR YOU TO READ


For two years I've been suffering with bouts of anal fissures.

Anyone that has suffered from this disorder knows darn well that the pain is unmistakable, unbearable and many times, crippling. The best way to describe the pain is pain is passing razor blades fresh out of the package.

This pain was on again off again for a period of a couple years. Several visits to my colon-rectal doctor resulted in the same recommendation. Surgery.

Surgery on this tender area absolutely terrified me. So much in fact that I called in and canceled two scheduled surgeries as I was determined as ever to resolve the problem myself by taking Miralax every day along with plenty of fiber in my diet. For a time, this was successful only to have one non satisfactory bowel movement which re-opened the chronic fissure.

Last week, I finally gave in and called my doctor and said, I'm ready to move forward. Six days later, I was on the operating table to put this long ordeal behind me (no pun intended).

Yesterday was the moment of truth as at 1:45 p.m. the surgery began and by 2:00 it was over. I was briefed on post operation procedures and sent home with Darvocet (a step above Valium) for pain along with Aleive to help deal with swelling. I was told to immediately begin the Darvocet to minimize the pain that I was sure to experience as soon as the anesthesia wore off and a few hours later, to take my first sitz bath (simply sitting in warm bath water).

So far, I am pleased to report that the pain from the surgery is mild. From a scale of 1-10 with 10 being the worst, I'd rate my pain level at maybe a 3. Here is the kicker, I have NOT taken the Darvocet for fear that this will constipate me. I will only take this if the pain becomes too unbearable to tolerate.

Anyway, I am just 12 hours out of surgery and I am in MUCH better shape than I anticipated. To tell you the truth, I read so many discussion boards on this subject and it scared the living heck out of me. I came to the theory that the majority of those that post on this subject are those that did not have a real favorable experience with the surgery - although I will say, that most everyone said that despite the extreme pain, they would do the surgery all over again if they had to.

I decided to put this post up to let you know that SO FAR I'm doing very good. However, tomorrow is another day and who knows, I may be climbing the walls by then.

I'll continue to post on my recovery progress and I pray that things will only continue to improve from here on out.

 
Old 08-13-2011, 02:24 PM   #13
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Re: Anal Fissure that comes & goes?

Dear American eagle,
Are you still doing well post LIS? I am in my 9th week of an af and it is so frustrating because I'll think I'm better (which I do feel better) and then I'll have post bm pain of 1-4 hrs. It has gotten to the point that the bms don't hurt that bad, but this other pain that rears its' head about 15-20 mins later is what gets me. I saw where you had successful surgery and was wondering if you continue to do well and don't leak? Thanks so much, Julie

 
Old 08-14-2011, 02:28 PM   #14
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Re: Anal Fissure that comes & goes?

Did you have surgery? If so how did it go? I had a similar issue as you did but I had this for many years until the pain was unbearable. So I decided to have the surgery. Post surgery pain is less than what I had before.

I had surgery on 7/7/11 and I still have some pain but I dont think it worked. I have an appointment with the doctor next week. I have gone back to the doctor since my surgery and he said I am healing well.

 
Old 08-18-2011, 03:20 PM   #15
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Re: Anal Fissure that comes & goes?

I thought I would post a reply. My "day of reckoning" was on March 24, 2010. I didn't know what happenend at first other than I was in terrible pain about 30 minutes after a bm. Long story short, I was diagnosed with a chronic fissure. I didn't leave my house for 22 days straight as the pain cycle was, up in the morning, bm, sit in hot bath water for 5-8 hrs until my spasms would calm down. Eat a little dinner and prepare for the cycle all over again the next morning. I couldn't stand the pain. I had emotional breakdown after breakdown because the pain was so bad and I couldn't get through one day without it. I finally had LIS on 4/25 and I haven't looked back. Unlike some, I took the pain medication as directed. Even took one before I left the hospital and didn't stop for 3 days as prescribed. I honestly didn't know I had surgery. I haven't felt any pain since the surgery. I did have a little "seepage" for about 1 week after the surgery but wasn't anything that I couldn't manage for a couple days until it cleared up.

I highly recommend seeing a colorectal surgeon and make sure you feel comfortable with them. I'm not getting ready to see the same surgeon for resection of the colon to deal with my reoccurring diverticulosis. I never would have imagined I would need this type of work done on my pipes before the age of 40. I hope this helps someone...

 
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