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Old 01-18-2011, 09:38 AM   #16
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Re: Anal Fissure - I think but no significant pain

sjb,

Unfortunately, up here in Canada I cannot go directly to a specialist. You must be referred by your GP.

As I said, I am not by any stretch of the imagination in any severe pain or discomfort. Just I know something is wrong down there.

I have only seen my GP once. I will see him on the 21st and I am sure he will do another exam (likely not a DRE - just visual) to see if there is anything noticeable.

Hopefully, its a tag that is causing my minor discomfort and I can get that taken care of.

I will post what we found out!!

 
Old 01-18-2011, 09:51 AM   #17
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Re: Anal Fissure - I think but no significant pain

Hi I would be asking for the referral to the specialist. :smile:

 
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Old 01-21-2011, 07:39 AM   #18
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Re: Anal Fissure - I think but no significant pain

Well it is off to the CRS. My GP is scheduling a consultation.

Looks like we are going to try Botox injection. Should happen in the next 2 months.

 
Old 01-21-2011, 09:10 AM   #19
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Re: Anal Fissure - I think but no significant pain

Hi Is it a fissure or a tag? Botox according to the net is derived from the poisonous bacteria called Botulinum and is the same one that causes the botulism poisoning with food that has caused the deaths of many people. I would be afraid of that treatment and would avoid it like the plague. Let us know if desired. :smile:

 
Old 01-21-2011, 12:03 PM   #20
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Re: Anal Fissure - I think but no significant pain

I got my Botox injection on Monday. I expected Tuesday to be bad and it was. Wednesday I noticed a little improvement. Then last night I had terrible pain and it's still bad today. Granted Botox isn't a cure, just supposed to reduce the spasms so that the fissure can heal, but I also didn't expect it to make things worse.

My doctor also said something weird to me. He's been saying that I'm not tight, meaning my anus isn't tight, which is why I don't seem to get pain from a BM. And because of that, he didn't think that I'm a candidate for the surgery, meaning it wouldn't help me. I didn't press him on that since I just got the Botox, but given how I'm feeling today, that thought is really scaring me. I was scared of the surgery, because there can be residual negative effects, but at least it was a sort of light at the end of the tunnel re relief from the pain. But if I;m not a candidate for the surgery, or it wouldn't help me, does that mean this is it, I'm going to be in hell for the rest of my life?

Also, though the pain radiates, so it's hard to tell exactly where it's coming from, I do seem to believe that the tag is the culprit of much of it. Isn't there some medication that might numb it? I've been doing some research and my wife is going to head for a drug store to see what she can find. The stuff you put on sunburns burns like hell, I tried that months ago, but has anyone found anything else. A doctor I know suggested ice, but while it may numb, it also hurts so I wasn't thrilled with that, plus everyone says the area needs blood to heal and warmth would bring blood to the area, not ice.

So many questions...

 
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Old 01-21-2011, 04:52 PM   #21
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Re: Anal Fissure - I think but no significant pain

Hi I guess if I wanted to try to undo something I might try a steam activated charcoal poultice on it to see if it would adsorb toxin. The poultice is made with 2 Tablespoons of charcoal and 2 tablespoons of flax meal or seed and about 4-6 tablespoons of water and simmered a bit until there is a paste. The mix can be placed within an inch of the edge of a paper towel so that it does not ooze out. The paper towel can then be folded lengthwise and placed on the area that is affected. It can be placed directly on skin if a mess is not minded and might be slightly more effective than the paper towel. It will not come out of underwear or linens. I am not sure it would work though. I suppose if it was felt that a person was better the other way a procedure could be redone if all parties agree to it. I hope this helps someone.

Last edited by sjb; 02-18-2011 at 06:06 AM.

 
Old 01-22-2011, 06:55 AM   #22
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Re: Anal Fissure - I think but no significant pain

Just for clarification, my GP is referring me to the CRS and recommending the Botox.
The CRS will be conducting his own analysis of the issue and develop a plan to resolve. At this point, I am not sure if there is a tag or fissure.

Thus at this point, I am not sure exactly what the plan is except that the specialist (CRS) will now take the lead on my treatment.

On a side note, my spasm pain has literally disappeared after 2 full months of 2x/day metamucil and lots of water. The only 'issue' I have is some tenderness at the 12 o'clock position of sphincter (externally) when I pass gas

My GP is hopeful that by the time I see the CRS, my symptoms may have fully subsided. Lets hope so

 
Old 01-25-2011, 10:38 PM   #23
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Re: Anal Fissure - I think but no significant pain

Tygriff, I have the exact same symptoms! I'm not sure what mine is. I went to my GP and he checked for hemmroids...he just looked at the area and didn't see any externals, he didn't check for internals b/c I never have bleeding. I'm only 20, i work out on a regular basis and I eat healthy, the only exception is occational sweets and lots of coffee(I only drink it black, sometimes w/ cream). I do have the buring pain you described, and I do feel like I have small cuts in the area. I just saw my doctor a few days ago for a physical (to start one of my college classes), but I didn't want to bring up my problems a second time since it would be awkward and embarrassing talking about that with the medical assistant in the room. Should I just email my doc and ask about it/ get a referral to a GI specialist?

Last edited by caligrl0618; 01-25-2011 at 10:41 PM.

 
Old 01-26-2011, 04:24 AM   #24
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Re: Anal Fissure - I think but no significant pain

Caligirl,
If you can wait a little while longer, I will likely get my final diagnosis in the next couple of weeks when I see the CRS. I will post what he/she thinks the issue is.

If you can't wait, I don't think there is any harm in asking for a referral (unless you doc takes offense to it). If you get your answer before me, please share it with us

 
Old 02-17-2011, 10:11 PM   #25
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Re: Anal Fissure - I think but no significant pain

Hi! I'm still new to this board so it took me a while to find old posts. How did your results turn out? I emailed my doctor and he will give me a refferal but wants to do conservative treatments first. He said its unusual b/c I dont have a cause (for my constipation...thats likely causing my fissure). B/c I eat really healthy fruits veggie, fiber...no dairy(i'm semi lactose intolerant and cutting back on coffee)...so I don't get it. i'm assuming i have a food allergin/irritability to a certain food? or maybe not enough magnesium in my diet?

 
Old 02-18-2011, 05:23 AM   #26
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Re: Anal Fissure - I think but no significant pain

I'm seeing a nutritionist who has me on a ton of fiber ( i'm taking 35 g a day, mostly thru product called FiberWise), magnesium (product called Calm) and drinking 64 oz of water in addition to what I'm taking withe the fiber and my constipation is gone and so is most of the pain, at least the excrutiating variety. I still have some pain so I know the fissure isn't healed and I'm being very careful, but what a relief. So my advice to everyone with an anal fissure is do whatever it takes to get your stools soft and fluffy. Once you hit that stage, you'll be on your way.

I've had Botox and am also on Nifedipine, but they weren't enough. Ridiculous that MDs weren't as concerned about the state of my stools as they were about giving me expensive drugs.

 
Old 02-18-2011, 12:07 PM   #27
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Re: Anal Fissure - I think but no significant pain

Still waiting on seeing the CRS (4 weeks now with no appointment scheduled!!).
But as I noted before, I am not in any severe pain by any means. It is definitely more than tolerable, just not forever.

I am currently taking Metamuccil 2x per day, but I might follow Bayridge's experience and try Fibrewise and Calm.

Not looking forward to the CRS as he will probable get his fingers up there and re-tear what has healed

I will keep you posted when I know something!!

 
Old 02-18-2011, 03:13 PM   #28
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Re: Anal Fissure - I think but no significant pain

HI if an examiner is that rough maybe a different one should be chosen in my opinion.

 
Old 03-03-2011, 12:04 PM   #29
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Re: Anal Fissure - I think but no significant pain

Quote:
Originally Posted by tygriff View Post
BayRidge,

Can you elaborate on your symptoms? Here are mine:

1. Slight discomfort (stretch feeling) at the start of a BM then no issues during the rest of the BM
2. For about 30-60 mins after the BM I am fine as well
3. Then I begin to feel a creeping, sharp pain that does NOT get excrutiating, it is just there and this occurs every couple of minutes over many hours at the sphincter area. These peaks of pain only last a couple of seconds. Between these it seems OK
4. Flexing of the sphincter muscle causes discomfort
5. Relief during the peaks of the discomfort can be achieved by pushing (like pushing out a BM).

Sound similar?

Hi, I'm suffering with very similar symptoms to you, I had a fissure for years and eventually had LIS surgery which hasn't been very effective hence the symptoms.
During BM I have virtually no pain then a little after I get increasing discomfort but it never gets unbearable and is definitely located at the sphincter, flexing or tensing of the sphincter causes a sharp *****ly like pain and when I bear down like when having a poop it disappears, it's very annoying and I'm currently trying to get an appointment to see a CRS... I need more answers.

 
Old 03-03-2011, 12:26 PM   #30
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Re: Anal Fissure - I think but no significant pain

Love the forum name!!!!!

I am still waiting on seeing the CRS. I find if I keep hydrated and fibre levels up (trying to get 40mg/day). The length of time for discomfort is minimal (less than 1 hour). However, as soon as I have a harder BM, I am right back to where I started.
My GP is recommending the CRS conduct a Botox injection. I am hoping the CRS can confirm the diagnosis and resolve this once and for all.
However, the discomfort is not enough to demand immediate relief. I am more concerned the symptoms are not a sign of something more severe (ie: Crohn's or cancer).

 
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