Hi Everyone,

Newbie here seeking some thoughts.

A few months back I had constipation and hard BM's and developed hemorrhoids - though now think I might also have developed a fissure as the itching was keeping me up at night, though no pain or blood. As it was during lockdown I couldnt go the my doctor but he prescribed some ointment and it seemed to help nevertheless.

Anyway, as my symptoms went away I was left with a twitching like sensation in my anus - the doctor said this was common with hemorrhoids as there are lots of nerve endings etc and can take a few weeks to settle down. I only ever felt it when I stopped moving around etc and was more noticable when sitting.

The sensation was still there a few weeks later and I managed to get an image to send to my doc as I thought I could see / feel something and he referred me to a consultant as he thought it was a fistula. I got an examination and everything was deemed to be fine and as it should be and it was not a fistula but I did have some trauma to my anus and a few skin tags and what looked like a possible fissure which had now healed - I had been taking lots of sitz baths as I noticed this helped considerably.

The twitching / pulse like sensation is still there and comes and goes and is not sore but mildly irritating, so my first question is - what does fissure spasms actually feel like? Is it constant, does it come and go, are the painless / painful or vary from person to person?

I haven't had pain but last week I bad a hard BM which for the first time brought about a few spots of fresh blood, so I am thinking the fissure has opened up again - I had been taking Docusate on the advice of the consultant to keep me soft but it hadn't kicked in on time! Since then I have had a little pressure in my anus and the odd flicks of pain but nothing major and I am keeping up the sitz baths.

Just looking for anyones similar experiences on this and or advice.

Thanks
Aitch

I think everyone experiences spasms differently. The twitching sensation is one that I've experienced in the past with an unhealed fissure. Spasms can also feel like a burning pain or a clenching sensation. Even though fissures can appear healed they can reopen so keep an eye on it. You may need to try medicated ointments if it doesn't heal. Take care.

Thank you for taking the time to read and respond. Much appreciated.