Bowel Prep?

Are you having, or have you had a Lateral Internal Sphincterotomy (LIS)? Please share your experiences here, or ask any questions.

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Bowel Prep?

Postby chachacha » 08 Jan 2015, 23:53

I will be having the surgery soon, but won't be getting my pre-op instructions until a week before the procedure. Online, however, I've been seeing a range of people who had no "prep" whatsoever (other than no food or drink before having the general anaesthetic), to people having enemas the night before.

For those who have already had their LIS surgery, what did you have to do beforehand?
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Bowel Prep?

Postby msimon » 09 Jan 2015, 12:32

No prep here but another CRS I consulted wanted an enema the morning of. Every Doctor is different...I almost think the prep is a better idea in order to delay the first BM, as it will hurt...
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
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Re: Bowel Prep?

Postby chachacha » 09 Jan 2015, 12:42

That's exactly what I was thinking! Thanks for your response.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Bowel Prep?

Postby Jbl22424 » 10 Jan 2015, 00:03

My prep instructions told me to do an enema. I called and told them I wasn't sure I could because of the pain I was in. They said that was fine so I didn't.
Developed fissure from constipation due to breastfeeding 7 weeks after delivery (Jan 2014)
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Colace
Magnesium
Miralax - godsend
Nitro - some improvement
LIS (May 2014) - cured for 3 months then setback
Diltiazem
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Re: Bowel Prep?

Postby chachacha » 10 Jan 2015, 08:53

Thanks for your response, Jbl22424. That happened to me when I was scheduled for a flexible sigmoidoscopy. I had had diarrhea for 4 hours in the morning, and just couldn't possibly do the enema later that day. They also said that was okay. It will certainly be interesting to find out next week if they want me to do one before the LIS.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Bowel Prep?

Postby soey » 11 Jan 2015, 07:43

No prep for me and I was fine. The only tip I can give you is to not eat too much one or two days before the surgery. The first BM might be alittle painful, but it helps if you dont have to poop too much.
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Re: Bowel Prep?

Postby chachacha » 11 Jan 2015, 09:28

Thanks for your response, Soey. How are you feeling now? I know it hasn't been long since your surgery, and I hope that you're doing well.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Bowel Prep?

Postby soey » 11 Jan 2015, 10:05

No problem:) I'm doing well. Very little pain from the incision site. The biggest problem I have is keeping my stools perfect. It's either too soft or too hard. But happy as long as I'm not in terrible fissurepain. Are You nervous about getting the surgery?
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Re: Bowel Prep?

Postby chachacha » 11 Jan 2015, 10:54

No, I'm TERRIFIED!

But good to hear that you're doing so well.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Bowel Prep?

Postby soey » 11 Jan 2015, 11:07

Dont be! Easy for me to say, I know ;P at the hospital, you'll be given lots of painkillers, so You won't feel a thing. It's such a small cut, I can't even see it. I only see a bruise. The first BM might hurt alittle, but the pain will stop pretty quickly if You clean off in the shower. Take a couple of painkillers before You go for a BM just to be sure. Dont read any horror stories about the surgery. Remember this surgery might give You your life back! Can You imagine? No more butt-pain!
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