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Old 10-06-2010, 11:35 PM   #1
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americaneagle HB User
Anal Fissure recovery

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.

 
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Old 10-27-2010, 08:00 AM   #2
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Re: Anal Fissure that comes & goes?

americaneagle - just wondered how your recover was going?

I started suffering the excruciating pains of an anal fissure from 30 weeks pregnant - baby is now just over 4 weeks old and the pain is on going. Have tried countless creams, stool softeners eating healthy (which I was doing anyway) and nothing is helping. At one point it seemed to be easing, but a week after having my son it got worse again and has continued getting worse. Pain is always there 24/7, I can barely walk and with 2 boys under2 years old to look after I am really struggling and it is doing nothing for my mental state of mind.

Finally have another appointment with colorectal specialist on Monday. Don't think my fissure was caused by constipation more likely the weight of carrying baby

Oh and to top it all off, my 4 week old also has a suspected internal fissure!!!

Last edited by Gemma26; 10-27-2010 at 08:01 AM.

 
Old 10-27-2010, 08:47 AM   #3
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Re: Anal Fissure that comes & goes?

Hi Gremma,

I'm sorry to hear about your ordeal that you and now your baby is going through. My best word of advise is don't go down the long road that I did. When conventional 'remedies' fail, don't be afraid to have the surgery done.

In short order, I was given a ton of major pain meds for after the surgery. All I needed to take was Advil every couple of hours. The pain was nothing like the horror stories that you will read on these forums from time to time. It was those horror stories that caused me to cancel two previously scheduled surgeries.

Anyway, about the fourth day after the surgery, I noticed a lump and increased pain. Obviously, the pain (which was minor to begin with) was supposed to lessen and mine was getting worse. My suspicions were confirmed that I had an infection going on.

I did not screw around with that and went back to the Emergency Room (they do nothing for this sort of thing other than call your surgeon) and the next afternoon, I was back on the operating room getting the infection drained and then put on antibiotics. The surgeon told me that infections occur 1 out of every 100 patients. Lucky me, right? I elected to stay in the hospital and actually needed the powerful pain meds for about 24 hours.

When I was released two days later, the edge of the pain was lessened and I was back on Advil and some antibiotics.

Yesterday marked my two week post 2nd operation and I'm recovering beautifully. Area is a little tender but no real pain. I was told the incision would take several months to actually heal completely.

Another thing I mentioned on the discussion boards is I suspect that those that are on these forums are those that are having painful issues and/or had an unlikely miserable experience with surgery. Most people are not sharing their POSITIVE recoveries on the forums. Keep that in mind because some of what you will read will scare the daylights out of you.

It's a pretty simple operation and the recovery is 99% better than the current problem you are having.

Last edited by moderator2; 10-27-2010 at 10:56 AM. Reason: please do not post websites except as described in the Posting Policy

 
Old 10-27-2010, 02:35 PM   #4
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Re: Anal Fissure recovery

Thank you for replying - your response is very reassuring as I have read some pretty negative posts.

I'm not sure yet what will happen until my consultation on Monday, but I am beginnging to feel that surgery is the best option - I am now actually forgetting what it is like to not be in pain, it is effecting my whole life and not just me but also my family.

I am hoping that my baby's problem is getting better as the blood in his nappies is lessening now. But my heart does break for him. You and I both know the pain this causes, I can't imagine someone so small having to go through it!

 
Old 11-08-2010, 08:00 PM   #5
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Re: Anal Fissure recovery

Gemma,

as americaneagle posted, there are tons of success stories of post-fissure-surgery that just aren't posted on here because they feel much better and don't want to start reading about the pain again, I didn't, until today.

I had what i thought was a hemmrhoid, it lasted 4 months, was suppose to be gone after a month, went to see my GE doctor(DO NOT WASTE TIME WITH LOCAL DOCTOR) he had a colonoscopy done and said i had a fistula, prescribed me some creams and what not, none of it worked. My life at this time was awful. I was scared to eat because I didn't want to go to the bathroom. If i ran or walked to much it would irritate it badly. The best day of the experience was when i went to see my specialist with my parents, at the time i was only 15 years old, I just wanted to live my normal growing into an adult life, I didn't look up this stuff my parents did all that. I went to the colon / rectal surgeon and he fully understood everything I was describing as he deals with this way more than you would ever think. He knew I had tried all the creams and other nonsurgical treatments, so he said lets do surgeory. I was so excited the problem was finally getting tackled and not messed around with. My parents ofcourse weren't sure if it was the best way out but nothign else seemed to work so we went with it. I had the surgeory, I no longer felt pressure down there. They put me on strong pain medication. Went home, after a few hours had my first bm. I was so scared yet excited before I went. Pain-free. It was absolutely wonderful. Went on getting better and better as the months went on, seeing my specialist along the way, I'm a slow healer compared to others. 5 months after the healing stopped. I went to my specialist again and he went in for what he called a minor "procedure." Basically he went in and cleaned it up and all went well and it continued to heal. I can now live a normal life, but it still is irritating after I use the restroom. No pain while I go, but for an hour or two after a BM it is irritated and annoying, but I usually just go right before I go to bed then get in bad and don't even notice it.

In the end, the surgery is very quick. Get a very experienced specialist and all should go well.

 
Old 11-08-2010, 08:34 PM   #6
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Re: Anal Fissure recovery

Hi all,

I suffered w/ a fissure for over 20 yrs (thought I had hemorrhoids) and finally went to a rectal surgeon (plz avoid a PCP) and had the surgery and I had right much pain after the initial numbness wore off but I didn't take the pain meds when I was supposed to (duh). It has been the best thing I ever did. THis surgery was a piece of cake! I was scared of my first bowel movement but I was on stool softeners and it was no big deal either, no pain!

Just wanted to share!

CJ

 
Old 11-09-2010, 10:29 AM   #7
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Re: Anal Fissure recovery

i have good days and bad days whereby i get totally frustrated by it all. the worst bit for me is not being active, which i usually am. i keep getting told to go for walks. if i do it takes me so long because i have to take very small steps. i look a right geek. i m off to docs on 10/11/10 to make sure all is ok and to ask why it still causes me so much discomfort.

Last edited by patricktuohy; 11-09-2010 at 10:30 AM. Reason: entered an extra couple of words

 
Old 11-09-2010, 12:53 PM   #8
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Re: Anal Fissure recovery

Yeah I have seen horror stories too, keep us posted thanks.

Last edited by hb-mod; 11-10-2010 at 12:13 PM. Reason: Removed Quote. Please use "QUICK reply" rather than "QUOTE reply". Thanks!

 
Old 11-11-2010, 03:00 AM   #9
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Re: Anal Fissure recovery

I saw my colorectal specialist last week and I am now on a waiting list for LIS surgery. Not sure yet how long it will be before I get it, but hopefully before christmas. Was hoping it would heal by then, but the pain is slowly getting worse.
I am both nervous and excited about the surgery. I just want my life back! Trying not to do any reserach online as I know that will only put me off

 
Old 11-13-2010, 02:19 AM   #10
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wantrelief HB Userwantrelief HB User
Re: Anal Fissure recovery

gemma, i know your pain. i try to post my success story on here pretty regularly when people post their fears about LIS surgery.

i dealt with my fissure for over 2 years before breaking down and getting the surgery. mine was caused because i tore so bad during child birth.

my only regret with the surgery was that i didn't get it done a heck of a lot sooner.

just make sure you drink plenty of water and take stool softeners since you will be on pain relievers for a few days

it took probably at least 3 months or so till everything started to feel normal again. i had some pain at the incision site for awhile, nothing major, just like a twitch of pain every so often.

i am a month and a half shy of it being a year since i had my LIS surgery. and i feel 100% back to normal and like i have a normal life now.

 
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Old 11-14-2010, 09:18 AM   #11
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Re: Anal Fissure recovery

Hello,
I am a long distance and racer cyclist and I have been suffering from a rectal bleeding and burning since June 5 2010 and used Prep-H with no help. Finally I saw a Proctologist/colorectal Surgeon on August 24th and he suggested Colonoscopy and also said that I have a posterior midline fissure and prescribed Nifedipine 0.3% & Lidocaine compounded cream.

October 7th procedure was done, colonoscopy showed no polyps, sigmoid spasm ( Dr. was not worried about the spasm ), 3 large internal hemorrhoid banding and a Botox shot for the fissure.

I had a follow up post procedure on 10/18, and the Dr. said that most likely the hemorrhoids already fallen off and the fissure is healing ok, but I am still in pain and blood on tissue and some on the stool ( bright blood ) after 5 weeks post procedure, my morning bowel movement is very painful and right after BM severe pain, spasm, burning starts and it last about 4 to 5 hours , I started having urgency after the Botox shot too, this thing has taken over my life. I went back to the specialist and he send me for a Pelvic MRI thinking maybe I have an abscess but the result came back clean.

I went for a second opinion 3 days ago and saw another specialist a nationally very well known colorectal surgeon, after examining me he said I have a very deep unhealed fissure and thought that colonoscopy, 3 hemorrhoid banding and botox shot all together was a big mistake by the previous proctologist, he suggested to continue Nifedipine for another 4 weeks, and if that didn’t help, to do the LIS surgery. My follow up appointment with him is on 12/13 and I have to make a decision by then, and I am torn apart by getting mixed messages from different family members (who are physicians and pharmacists) who don’t recommend the surgery.

My question to this board is how happy are you with the surgery? How long did it take you to heal? Is post surgery painful? Mostly I am afraid of incontinence. I had my share of cycling crashes in the past with some very painful recoveries but NOTHING tops this pain that I have now from the fissure.

Please help

Thanks

Last edited by jacquesm66; 11-14-2010 at 09:21 AM.

 
Old 11-14-2010, 10:07 AM   #12
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Re: Anal Fissure recovery

i had a seton stitch fitted on 22 oct 2010 . this was because the fistula had gone through muscle. the stitch was fitted because it couldnt be laid open as this would have caused incontinence. its now 14 nov. i am taking opiate based pain killers plus nurofen and paracetamol. i returned to my doc last week due to pain not easing. he advised i had an infection and was also put on anti biotics. hopefully the infection is clearing up. the pain is not as bad though its still uncomfortable. it does take over your life. i am used to training daily. part of my cv work is cycle spinning. the doc states this could have been one of factors in me getting fistula. i return to hospital on 11 jan 2011 to hopefully have stitch out. i have been advised that collagen will be put into gap where stitch was. this will then be capped! plastic surgery on my backside. cant be bad. seriously though i am getting very frustrated. i try to go to loo once daily(i was going 2 to 3 times). once i ve been i can then shower. i kneel down and direct the spray to the area. that way i know iam clean(although i still got an infection). everything i do seems to revolve around what i m going through. i cant walk far because it irritates me. i am currently on sick and due to the job i do i cant go back until i m sorted out. sitting at home all day is horrendous.
all i can say that if you have it done you will suffer. however i keep telling myself i had no option. to have left it would have meant even more problems. i m trying to focus on getting sorted so i can start training again. i could do some light weights, perhaps i will in time. its surprising what muscles you use in even the basic of exercises. good luck and good health..

 
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Old 11-15-2010, 10:26 AM   #13
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wantrelief HB Userwantrelief HB User
Re: Anal Fissure recovery

get the LIS surgery done. it is NOT a big deal. i have no regrets getting mine done. i had NO issues or problems what so ever. it is a VERY simple surgery and as long as you are in the hands of a skilled professional, you have nothing to worry about. don't put yourself through more pain by waiting things out. get the surgery done ASAP, you won't regret it!

 
Old 11-15-2010, 03:59 PM   #14
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Re: Anal Fissure recovery

Hello, Thanks and i enjoyed reading your thread., I was wondering if you did the bot-ox injections prior to the surgery. I have been suffering for almost 2 years as well and just had the bot-ox 2 days ago. If it doesn't work I am looking at the surgery next. Also how are you feeling now? Any incontinence? Whats the pain level and would you consider recommending your doctor, Thanks a bunch. A

 
Old 11-15-2010, 06:51 PM   #15
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Re: Anal Fissure recovery

Quote:
Originally Posted by angelo1956 View Post
Hello, Thanks and i enjoyed reading your thread., I was wondering if you did the bot-ox injections prior to the surgery. I have been suffering for almost 2 years as well and just had the bot-ox 2 days ago. If it doesn't work I am looking at the surgery next. Also how are you feeling now? Any incontinence? Whats the pain level and would you consider recommending your doctor, Thanks a bunch. A

I am at the 5 month stage of recovering from the LIS..
I have noticed a major improvement.. My doctor said it would take 6 months for real healing to begin from a deep fissure.. I was suffering for about 3 years after continuously being mis-diagnosed as it being hems...
The surgery is not bad at all... except for the first BM afterwards...
The key for me has been Metamucil three times a day with at least two servings of fruits or vegetables also...

for the scheduled surgery I did not know whether I was going to get the botox injection or the LIS.

My doctor said that while I was under anesthesia he would be able to determine whether the LIS was needed or the Botox.. That would depend on the deepness of the fissure...
In my case it was deep so he performed the LIS...
I do not regret it at all... It has been a slow healing process but It was worth it..

 
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