30-something woman here. Looking for some insight or help!
So, I was diagnosed with anal fissure five years ago after developing constipation due to an infection of my enteric (gut) nervous system. At the time, i had acute pain, bleeding, those terrible anal muscle spasms, and developed this skin tag, too. :/ Despite sitz baths and NG, it seems to have never healed fully - I haven't had muscle spasms since those first few months, but every few months the fissure will open again for a few days--acute stinging pain with a BM, stings if I put any soap or anything besides warm water on it, there is usually a little bit of blood. The CRS I saw at the time wasn't able to see the fissure with a regular exam, but told me that is not unusual.
I recently saw a CRS in my area (I've moved in the time between) who is supposed to be excellent, head of department at a prestigious place, etc. She didn't see the fissure either, so a few days ago I had an anoscopy. She wanted to confirm the diagnoses, and make sure there were no other issues since I have some other health stuff. I just talked with her and she told me that everything looked healthy and she didn't see a fissure, or the scar tissue you usually see around a fissure... Nothing. She suggested it might actually be muscle pain.
I am really confused. I have had enough ailments to know about a lot of different kinds of pain, unfortunately. This simply does not feel like muscle pain, but feels and acts like a cut/ fissure.
Has anyone else had this issue? Is your dr able to actually see your fissure? Does anyone else have something that seems like a fissure but without scar tissue (though I do have a skin tag)? I am really confused and unsure where to go from here, but god, I would love to poop without fear!
Thanks so much!