Apologies in advance, I get it most of you/us are here because of fissures but here goes:
My CRS wants to do a hemorrhoidectomy, which would include getting rid of my many internal hem's which often protrude along with LIS. However, I haven't had a fissure in ages.
I haven't seen my CRS in almost a year, and have been on the waiting list for this for 7 months. Yes, this could only mean I'm Canadian. I'll be meeting him for a pre surgery consult this Friday, with a date for surgery in early Dec.
I had a chance mid-2013 to have the operation, but chickened out being both afraid and wanting to try to heal naturally. I tend to heal, and be feeling quite good (talking about the hem's) but then they will get thrombosed causing lots of pain, and a certain degree of depression. I find these episodes, and healing time in between, take less time then going back a year. I've been in this situation for 2.5 years. My pain comes and goes, but I just feel like I'm in limbo.
I vaguely recall the CRS's reasoning on why he would do LIS without symptoms of a fissure, but can't quite remember. I think b/c I am tight, and have a life-long problem with constipation. He also said that if I have a hemorrhoidectomy I will likely get a fissure.
I often have a tremendous amount of internal anal pain, which I've thought may be caused by scar tissue. Just a week ago I went for my first Pelvic exam, to rule out this being part of the problem. I'm really glad I went for this, I was examined by not one but two practitioners (one being between clients) both vaginally and rectal. My resting rate was deemed good 4 to 5 I believe they said. They also said there was no sign of external fissure. I have a sinking feeling a lot of this internal pain is brought from my nervous body and not so much "real" pain. But pain is pain right. So that's a whole other can of worms.
I'm looking forward to seeing the CRS, having him take another look and see where I stand.
Sorry for the ramble, "Turk the Cat"