anal fissure story

my anal fissure story

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anal fissure story

Postby connej » 14 May 2014, 05:13

Hello all,

I have been reading this forum for a while and have found it very useful and supportive...

i am in a dark place right now so i thought i would introduce myself and maybe some of you can help me

I am a 19 year old male and for about the last year and a half i have been dealing with AF's on and off

I won't go into all the details from the past but basically i have been dealing with severe stress during the last few years, I had a colonoscopy to confirm that nothing else was going on... nothing was found other than two anal fissures and that i had a long colon...

This year was going well for the most part but about a month things got ugly :(

I have been taking a fibre supplement this whole time but i got food poisoning so i stopped using it for a couple of days (biggest mistake of my life) A few days later i had a very hard bm along with a lot of pain and blood

this continued for days, the pain was excruciating, felt like i was passing blood, i was in tears, my stool was covered in blood so i went to the doctor who confirmed my fissure had returned

I started to use rectogesic but for the first few weeks i was only using once a day or sometimes twice a day... things become better there has still been pain and a bit of blood but nothing compared to the first few days. Whats odd is that my stool is soft but it takes a long time for the process to be complete, the first piece takes a while to come out as it feels like there is a blockage.. then there is the pain and then it comes (sorry for the detail)

yesterday things became bad again... :'( i dont even know why..

i have bad anxiety and i am obsessive, this combined with an af is not good, whenever i see blood in my stool i get worried, maybe i will get blood poisoning, maybe i will lose too much blood, maybe i really have bowel cancer (these are some of the anxious thoughts that cross my mind)

I have booked in to see my specialist as i am desperate to get this fixed... I'm thinking maybe the botox injection is the right path to go down now..? :'(

well thanks for reading my story :)
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Re: anal fissure story

Postby Apes » 14 May 2014, 07:08

Connej,
Thanks for sharing your story, the forum is great way to share amongst friends who know how you feel. There are a lot of threads that talk about people's Botox experience. I had Botox 9 days ago and I am now starting feel a bit better buts it very slow. Remember anything you decide Botox or LIS does not directly effect the fissure, it allows your bottom to relax in order for the fissure to heal. I did a lot of research on both Botox and LIS, I DECIDED TO GO WITH BOTOX FIRST TO AVOID SURGERY EVEN THOUGH it has a much lower success rate. I have had way to many surgeries in my life and it takes it toll. If the Botox doesn't work for me then I will have LIS, but why jump to that. Most doctors will tell you that Botox is about 65 percent successful. I have read many studies from Botox doesn't work any better then placebo to 90 percent effective.
Check this link http://www.ncbi.nlm.nih.gov/pmc/article ... po=71.8750
Towards the end there are other links to studies "pubmed"
My conclusion was that if injected in the right spot and high dose you have a better chance of success. Remember even if you start to feel better you need to pay close attention to diet, it takes a very long time to completely heal.
Good luck and let us know how you are making out.
Fissure 2/13/14 from Colonoscopy
Nitro no help
Nifedipine no help
Botox 5/5/2014 work in progress
HEALED 10/2014
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Re: anal fissure story

Postby vdb324 » 14 May 2014, 18:28

I too opted for the Botox first. It helped a great deal with my pain, and I had some progress initially. However, it wasn't quite enough to fully heal the fissure, so I opted for LIS about six weeks ago. The LIS seems to have been successful. Despite that, I don't regret getting the Botox two times before LIS. I thought it was better to try something temporary, more conservative, and with less risks first. Good luck, and I hope you feel better soon!
Feb. 2013 - Developed AF
July 2013 - Diagnosed AF;nifidepine lidocaine treatment
Oct. 2013 - 1st round of Botox & skin tag removal
Dec. 2013 - 2nd Botox
March 2014 - Spinchterotomy
June 2015 - Diagnosed with Pelvic Floor Dysfunction/Vulvodynia
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Re: anal fissure story

Postby Apes » 14 May 2014, 18:47

That was my thinking exactly. It's been 9 days and pain has subsided during BM and only slight burning right after that goes away as soon as get into a bath. After that some discomfort but nothing like before. No bleeding for the last 3 days. Trying to get my multiple BMS under control. Lightened up the fiber and I'm down to two BMS a day from 3. Was actually able to drive (actually walking is more difficult now, could be the hemmy)to the golf range and hit some balls. I'm hopeful.
Keep posting on the LIS, it's so helpful to hear the stories.
Fissure 2/13/14 from Colonoscopy
Nitro no help
Nifedipine no help
Botox 5/5/2014 work in progress
HEALED 10/2014
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Re: anal fissure story

Postby connej » 14 May 2014, 19:27

hello Apes and vdb324,

thanks for the replies

Botox does seem like the next step, i have an appointment with crs in two weeks :/
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Re: anal fissure story

Postby Scientist2516 » 14 May 2014, 22:19

Hi Connej,
If the first part of your BM is very hard, it's the dreaded "plug effect" where the stool that's been in your colon the longest is dry and difficult to pass. Maybe you could have a BM twice a day. Then it won't have time to get dry. You could also up your water intake, so that your colon won't feel the need to withdraw water from the stool.

You can search the forum for plug effect, to find out what others have done.

It's totally understandable that you are obsessive and anxious about your fissure. I remember that well. I'd keep returning to the forum to get reassurance and to feel the companionship of others who know what it's like. Some people get antidepressants to help them cope. There is no shame whatsoever in doing this. It's part of the treatment, and to help you live a normal life, as much as you can when you are in frequent pain. So you could ask your doctor about that.

Good luck.
:wel: :smilyhug:
Nifedipine/lidocaine, no help
Diltiazem, effective, but caused major rash
Nitroglycerine, effective.
Topical estrogen for final healing.
Gentle heat to bottom - pain relief, muscle relaxant
Kondremul mineral oil
Time - lots of time.
Status - Healed!
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Re: anal fissure story

Postby connej » 16 May 2014, 22:14

Hello scientist2516,

thank you for your reply

I do constantly seek reassurance and it is very draining :/

The thing is after basically every BM which is twice a day there is a bit of blood, on the side of the stool and on tp, my worry is that i am losing too much blood over time (probably crazy) hmm
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Re: anal fissure story

Postby Doggyvonne » 29 May 2014, 08:42

I have seen many references to Botox..excuse me if this is a bit ignorant of me but can you tell me where they put the botox..i.e whereabouts do they put the needle?
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Re: anal fissure story

Postby Apes » 29 May 2014, 09:09

I was under general anesthesia and got 3 shots one on each side of the fissure and one in the fissure itself. From my research it is important as to where they inject it and the amount they inject. Larger quantities seem to work better, I had 30 units in each side and 16 in fissure itself. Look up some of my posts for more thorough informAtion.
Fissure 2/13/14 from Colonoscopy
Nitro no help
Nifedipine no help
Botox 5/5/2014 work in progress
HEALED 10/2014
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Re: anal fissure story

Postby connej » 03 Jun 2014, 05:39

Hello all i just thought i would let you guys know how I'm going now...

There was some dramatic improvement, days where i had no pain or bleeding at all... but unfortunately over the last few days the pain has returned and the area is very swollen and painful..

When i saw a surgeon last week he said to try rectogesic for 5 more weeks before i try anything else
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