haha - it was the coldest day of the year here in Sydney yesterday! Maybe that was an omen or something! Still, nothing compared with North American winters.
I had a very restless nights sleep - sleep for an hour or so, then wake up with pain, and then reposition and sleep a little more. Repeat. I have yet to take the Tramadol, I don't think I REALLY need it, and I am fearful of the constipation side effect.
For some reason, I have this somewhat involuntary clenching (spasm) of my sphincter, which as you can imagine causes quite a severe pain. It's difficult to explain, it's like when you urinate and you cut off the stream, the muscles need to contract, that is the process. Its like I am at rest, then all of a sudden my sphincter decides to clench up. But I can control it if I feel it coming, as in stop it, or make it far less violent. Are these the spasms you guys talk about with regard to fissures? I have only experienced this one other time - I did the same thing when I had polyps removed - they prolapsed and became thrombosed (sp) so the CRS (same guy) cut them off! That was a similar experience to the one I am going through now. Except that was more of an internal ache where this is an external sting/burn from the cutting of the fissure, LIS and the sentinel pile removal.
I have a question - I can't fart, I am assuming that is because I have "packing" inside my butt? They gave me an enema, so I have not needed to go to the toilet yet this morning like I would any other day, so I don't know what's up there yet
I will keep you posted as to the first BM and the next few days and let you know of any changes.
Thanks again for all the support..

Hopefully it’s just your anal nerves reacting to the trauma
of the surgery. The LIS should stop the
sphincter spasms. That you can control
it, or seem to, is a good sign. If it
keeps up, though, I would call my CRS.
Try to relax and get as much rest as possible. For the next several days, it’s all you need to do! Good luck!

BTW, a few days after my surgery, I had some mild spasms but
they were different than the awful spasms I had prior to the surgery.

yeap ... this is it !!! We are coming !!! Mild winters and great doctors - what else one needs !!!???
You are doing great K , just one more day and all should become better and better

Thanks guys!
Yeah I just pooped out the packing! That was painful enough, so jumped off the toilet into a sitz. Will wait a few hours and try again with pooing - this time waste, rather than surgical wads!
:)

Wow K !!! : ))) you are so expeditious with those milestones "mate" , you are amazing ! Just keep up good work , poop can not hurt more than that dry and scratchy packing :pale: , I am sure
Keep us posted

Keyzer,
My husband and I were supposed to go to Aussie land and New Zealand for a month a couple of years ago, but had to cancel and fortunately got most of our money back as I was having butt issues at that time and couldn't withstand a 14 hour flight.
Anyway, will send you healing vibs. My goal is to get completely healed and be able to go to Australia, New Zealand, or wherever I wish to travel.
Good luck and keep us posted on your progress!

Dear K
Was so pleased to read your updates, you have a inspirational attitude !
I am rather impressed that you feel no need for painkillers this is great !
How do you feel today ? It really can only get better and better from this point !
Thank you for sharing your experience...
I have a quick question K , like you I have suffered over a year with this fissure, in November I was examined and the CRS said I had chronic fissure, a skin tag and an internal polyp !
Does this sound similar to the polyps you had ?
How did they remove them ?
Any feedback would be greatly received
Thank you

Thanks Guys!
Hi Tabby, here is my story... brief but complete.
About 18 months ago I went on a golf trip (I play pro-ams) that I had to cut short because of (what I thought at the time) was a thrombosed hemorrhoid. I had suffered from this before, so I saw my CRS 16 days later (he is a super busy man!) still with what I though was the thrombosed hemmy (I was still in a lot of pain from it, and it was closing in on xmas). He had one look at my butt and said "we're removing those polyps today, you don't have hemmy problems AT ALL!" I was amazed! I was having this issue for years, mostly without pain, but I would always have to push them back in after using the toilet. Very convenient. He cauterized three of them - and the pain is close to what I am experiencing now. Perhaps a little worse. He called it a mini hemerrhoidectomy as he was scrambling out the door to the next patient and left me to his nurse. I didn't know what to think/expect, went home happy though, felt great from the local. Next thing I knew I was in a bath at 3am in quite uncomfortable pain. I went back in 4 weeks for the follow up and cause I was not healed/in pain, realised he had not cut all the polyp on the larger one. So, that pissed me off. But happens. Repeated the op, went through healing again, but this time was a lot quicker.
Still - months after the op I begun to notice some blood/pain on use of the toilet and just chalked it up to the op not fully healing yet. Till one day I got a lump back, much smaller than what I was use to, but just as painful (how can something so small pack so much pain?). It was, what I now know to be, a sentinel pile - associated with fissures. From what I have read, more than likely, the op was the cause of my fissures, just too much strain around that area for it to handle combined with a high protein diet for training leading to less than soft stools. Back to the CRS, he put me on that cream that gives you headaches and high fiber. Seemed to work ok. Then I went to live in Finland for 7 months this time last year, and whilst I was away AGAIN!!! In London and France this time, I got a really bad case of fissures. Saw a good CRS in Finland, put me on Movicol (macrogol 3350 - does anyone know if this is safe long term? Its an osmotic laxative) and dizatlam (sp?) fixed me right up for the 8 weeks I was on it. The day after I came off the movicol and cream I split the two fissures really bad - back to square one. Managed it pretty well till I realised it was not healing whatever I tried, even keeping the stool soft and bathing etc for 4 whole months without hiccup. Back in OZ, time for surgery I thought. So here I am! Third time I have had anal surgery - at 28 y/o Yesterday was my first general, was actually quite an odd experience.
Remember, let go of what you can't control and focus on the things you can. You control the path, not your bum. After my first surgery and before the fissures, I never once thought of the pain from the surgery, just the ease and freedom of using the bathroom like a normal human! I understand the fear of surgery, the fear of pain... but fear and pain are temporary, freedom provided by the surgery (should) last a lifetime.
Respect.

Huge respect to you bud
Thank you so much for taking the time to reply and sharing your story,
This has to be an end for you now surely !!!
Movicol is what I have taken for the last year , my GP said that it is possible to use movicol long term and for the rest of my life if needs be ! Movicol has been a winner for me , I used dizatlam too which did eventually get me on the right track , I felt so much better that I came of movivol (last week) which did seem to cause problems, but as I said in my other post this morning I feel now things have become more apparent as I am not using the cream, I think I have pain/aching where the polyp is, not so much from the fissure…
If I could guess how internal hemmies feel, I think this is the feeling I have
You are so right in your words of wisdom …Thank you x
I hope you never have to go through any butt surgery ever again
How are you feeling today K ?

Tabby - I am so sorry that you had such a huge setback : (, I have one too, and completely can relate. Just a week ago I felt like million bucks , now I am ready for the land-field. I did not make any app. yet just because I don't know to whom to go any more : (, I do not trust anybody any more. My CRS that saw my fissure last time is on the vacation. Maybe I should try that "laser guy" that I found on the net : (( ??? I hope that your app. will be painless. XOXO
Keyzer - what a story ! Thank you so much for sharing it since it gives us all hope that maybe one day we will be pain free too ! You endured so much and I wish you complete and forever healing !!!
Val - we are in the same boat again buddy, I am so down that I hardly can make myself post here : (. Hold on friend - it must get better ! XOXO
Lecia - I am so happy to hear that you are having great time : ))) ! Do you know any great CRS there so I can come, have a second LIS and spend some time with you ; ) ! XOXO