I'm not an id**t and have done far more reading than you on the subject, working at a university and having access to world class research journals on colorectal health. If you take a look at any of the repurtable literature out there on dealing with fissures you will see that what I stated earlier is the standard, conservative treatment. So what if that steroid not the steroid used by athletes? If you read the side of the tube, you will see a warning that says may thin skin. It is also commonly used for hemmies, not fissures.
I have not stuck with the same Dr for 2 years. The first allowed the area to abscess (as is common when open wounds contact feces regularly) and would not treat that for a year. The secodn and third were incompetent. I finally switched medical carriers and the condition is finally starting to clear up after LIS. I have been tested, repeatedly, and there are no underlying conditions, just shoddy care, where my inital drs prescribed things like proctofoam and steroids.
your situation seems to parrallel my wife's. She has been prescribed the Proctofoam & Lidocain jelly. Her operation seems to have left excess skin abcesses. However, as we try to seek other Doctors to take a look, no one wants to judge the surgeon or precribe alternatives ... everyone seems to suggest going back to the surgeon (she is in her 3rd week of pain). Any suggestions?
jrsygrl79, it can be 2-3 days before your first BM. Don't rush it. In my case, I felt like I really had to go, and hurt myself sitting on the toilet trying. It turns out that there was internal swelling that simulated the need to go. It was excruciating at times. After three days of not being able to go, I drank a bottle of Magnesium Citrate. In about 3 hours, I was able to go (see my post dated 04/21/08, on page 5 of this forum). This was the most painful time of this whole experience, but it was well worth it afterward. I do recommend you start taking some sort of fiber supplement (not anything labeled as "smooth texture"). It will make things flow a whole lot better, and help keep it soft. You can also take a stool softener (with or without a stimulant). All these things I'm recommending were OK with my doctor. You can ask yours beforehand, if you like.
cneal2, During my last visit, I asked my doctor what the course of action would have been had this fissure not healed. He said there is a 10 minute surgical procedure that is used to close it up. I didn't ask for all the details, but he said this is effective in nearly every case. If your wife is still having this problem, then perhaps this procedure would be the best choice. Especially if multiple doctors have recommended it.
As far as laxatives go: DO NOT use Magnesium Citrate! That stuff is only for people who DO NOT suffer from hemmorhoids. It will blow a hole through you and greatly inflame the area. I would recommend good, old fashioned Milk of Magnesia (in the Cherry flavor). Drink a healthy dose before bedtime and the next morning you will pass a very soft and easy going BM.
By the way, I seem to have stopped the bleeding I was experiencing and am recovering nicely now. 5 weeks have passed since my surgery.
The next morning in pre-op the surgeon came in and practically blamed me for what happen, but I followed their instructions to the T. I did everything they said, and still got impacted. When I woke up from the surgery all of my intestines felt like they were on fire and I had some considerable pain in the anal area. They said it was normal.
They followed that with that citrate stuff and that's when the fun began. They wanted to discharge me soon after and with morphine in my system, I was still in terrible pain, so the surgeon reluctantly kept me admitted for one more day..I don't know how I would have handled the pain that followed at home, so I was lucky. I've had numerous painful injuries in my life, none even come close to the past 11 days.
After getting some golden advice from the last nurse I had, recovery has been very slow and extremely painful but is progressing fine. However, I have developed some weird thing that sticks out during a bm and then goes back in, and after pain improved, there is a section now that is burning more and more, but overall pain during bm is lessening.
I guess the point of me posting is to warn people that diet, for some (should be for all), is crucial to a good and shorter recovery. They told me one enema the night before surgery and no eating after midnight the night before. I made the mistake of following that advice without regard to common sense or diet, which I was told by the staff didn't matter. I was also told that yes, a high fiber diet after the surgery was required, but that I could also eat what I wanted...yes they actually told me that. It definitely hurt me that's for sure. I would suggest a high fiber diet a couple of days before the surgery, and not eating anything at least after 6 the night before if not earlier. Afterwards lots of fluids, I used benefiber with great success, and if you can avoid laxatives that would help but I don't know how feasible that is. I couldn't avoid using miralax because everything was so swollen that even with soft stool it was really hard for anything to pass. Use stool softeners as well.
I'm NOT a doctor, no doubt, but after all this I just want to help someone not risk getting to this point. If anyone has any questions my email is _[removed]_. Good luck to anyone about to have the surgery or is recovering from it.
If it was an incision and drainage without LIS, then that is very painful and it can take up to 15 weeks or longer for her to start feeling normal again.
Are the abscesses oozing? If so, any dr who looks at your wife should be prescribing flagyl, the antibiotic commonly used for anus.rectal.intestinal infections. If they are skin tags, those should deflate as your wife heals and as the swelling caused by the surgery subsides.
In my experience, drs will never say that another dr is incompetent, even when s/he clearly is. If I were your wife, I would stress that I am completely dissatified with the quality of care I recieved and am hoping that this new dr will be able to help. This last drs I have been seeing has been a miracle worker. He is the only one who could see the fissure from the outside (which is amazing since it was an obvious leftover from the I&D and still ran the length of the anal canal almost down to the muscle), and he is also the only one who didn't probe the area and cause more pain. I seem to be healing after being treated by him.
I hope this helps a little.
The chemical burn on the area that they did the surgery on now feels like it did when i first had the surgery. I could not believe it, i was feeling so good. I could have a BM with little to no pain at all. Now i feel like i'm back to square 1.
Has this ever happened to anyone? This is so frustrating.
I had a double procedure on Thursday, June 5th. I had an external hemroidectomy and a surgery for stress urinary incontinence.
The day before the surgery, I ran around tying up a bunch of loose ends, as I didn't know how long I would down and out. So I didn't eat much. I hadn't had anything to eat or drink after 8p.m. Early that next morning, I did the Enema prep. I go daily on my own anyway, but after the prep, I felt truly empty. Surgery came and went and I got discharged with Cipro, Percocet and Motrin and a foley cath. I was instructed no baths or sitting in water primarily because of the vaginal surgery.
That night my pain was localized to my abdomen as I had incisions from the other procedure. I wasn't hungry. I remember eating chicken and rice soup for dinner only. My butt felt fine. I took one Percocet to go to sleep. Tossing and turning hurt the most and also I was confined with the cath.
The next morning (Friday), I felt pretty good. Mid afternoon, I passed gas and that hurted. That was the first pain I experienced in my butt area. My appetite also returned that day. I had a hoagie and sat in the car while my spouse drove to the hoagie shop. Sitting was difficult, but getting in a standing position from sitting down was even worse. I fear a BM since the fart hurt so bad. So, I took Stool Softeners and a Percocet.
The next day (Saturday), I took my first shower and after having my first BM, it was a piece of cake. I noticed the swelling and was concerned that I didn't have the surgery at all, until I read others responses at this site.
Sunday was a heat wave, I stayed in all day.
On Monday, I drove and was shopping around for graduation dresses for my daughter. On Tuesday, I went to get my cath removed. Before that I had my daily BM and it was painful this time. I spent my time in the waiting room unable to sit down, the pain was so bad. So I took another Percocet. Getting the cath out was the highlight of that day.
Wednesday, I went to my daughter graduation in heels, stood up and cheered, had ice cream and cake, took pics etc. I felt fine. I brought Tucks pads and the swelling is decreasing.
Yesterday and today I feel fine. Monday I return to work. I feel a slight discomfort, but we will see how it goes. My appetite still isn't 100% what it was and maybe that make the BMs more manageable. Yet in all I only took 3 of my Percocets and I am only 1 week post op for both procedures. The bleeding and discharge is minimal.
Thank all of you for your posts, you have helped me understand what I was going through and that there was light at the end of the tunnel.
Everyone heals differently, three years ago I had my tonsils and adnoids out and the recovery was by far more painful than this, I was out of work for three weeks.
Are any of you runners? I am 35 y.o. runner and plan to run in two races in Oct/Nov. I have only walked once with the dog since the surgery, but how soon can I pick up the paces and start jogging/running?
I don't want to hurt myself. The docs says 4-6 weeks, but they are also surprised I am out and about and going to work on Monday.
With mine, I had a colonoscopy to remove some polyps and a small tumor. While they were there, they banded a few large internal hemerroids and a huge skin tag on the outside. That incision is what hurts so bad. Had I known, I would have lived with baby wipes for the rest of my life to avoid this mess.
I went through child birth twice on my own and I do have a very high pain threshold but there is no way on earth that passing this stool aint going to do me an injury.
PLease help any comments would be greatly appreciated.
since then I have spoken to the surgical nurse who said it was no big deal for him but a very big deal for me. He told me I could go back to work the following Monday. My daughter had to drive me to work and I stayed 3 hours. Luckily it was not a time that I desperately needed to have a BM. That is when I pray for a quick death. And I have a high threshold for pain. Since then, I have had 2 BM's with help from laxatives. The whole day is spent in pain trying to have them. sorry to gross anyone out. I am afraid to create more hemoroids by trying to have the BM's.
The nurse also told me 2-3 weeks to "get over the hump" and then approx 6 weeks for recovery.
And I love the part where the surgeon says I can go back on a regular diet. I am actually afraid to eat.
And stay off those pain killers unless absolutely essential. Percocet is a
major constipator which hardly helped the situation.
I had a minor hemoroid. I do not recommend this procedure unless you are dying otherwise. I have never been more miserable and I had a very difficult delivery of first child.
I am using metamusil, started drinking prune juice, eating mostly bland veggies. 2 Ducolax was what helped me achieve BM each time. Magnesium Citrate did nothing for me.