First CRS visit this week

Discuss any questions, problems or share your solutions here...

Return to General Anal Fissure Discussion




Re: First CRS visit this week

Postby Bum_UK » 04 May 2017, 08:52

I had exactly that same sensation when I was doing pretty good a few weeks ago. I use diltiazem (still do) and the BM hurt and it hurt until I'd wiped off and for up to ten minutes after. I was basically painfree the rest of the time.
Bum_UK
Proctosphincteranalogist
 
Posts: 276
Topics: 15
Joined: 31 Mar 2017, 04:33
Has thanked: 5 times
Been thanked: 19 times
Gender: None specified

Re: First CRS visit this week

Postby sunshine_atl » 04 May 2017, 09:03

hi Bum_UK,
So are you still having that pea sized lump (or what they refer as hemorrhoid) or did it go away after application of the cream you mentioned ? Are you still experiencing pain during the initial BM ?
sunshine_atl
Fibre Addict
 
Posts: 23
Topics: 1
Joined: 19 Apr 2017, 20:19
Has thanked: 1 time
Been thanked: 0 time
Gender: None specified

Re: First CRS visit this week

Postby patience_and_healing » 07 May 2017, 18:54

Hey sunshine_atl, if it's an internal hem, those generally do not cause pain. I'm not certain if nifedipine will heal an internal fissure, I imagine it could do that, but I'm no expert on this. Internal hemorrhoids can bleed if irritated, and once your fissure heals perhaps you could look into the CRH banding procedure.
8/16-12/16: Fissure due to antibiotics
5/17: Botox to sphincter, fissure healed
9/19: Trigger point injections and pudendal nerve block
11/19: Botox to pelvic floor
8/20: Botox to pelvic floor in new location.
Currently in pelvic physical therapy
patience_and_healing
Moderator
 
Posts: 973
Topics: 38
Joined: 24 Feb 2017, 15:46
Location: California
Has thanked: 58 times
Been thanked: 116 times
Gender: Female

Re: First CRS visit this week

Postby sunshine_atl » 07 May 2017, 21:10

thanks very much patience_healing for your response. With the use of the niphedipine gel, I do feel a bit of minor relaxation in the area, but still getting the occasional twinges of minor pain & definitely still having the initial sting when having BM. It may be due to the internal small hemorrhoid, as I don't feel the fissure anymore, because it seems most people here say fissures hurt nearly all the time, but my discomfort only happens when passing a stool, & shortly thereafter. It's only there when the stool first comes out (which is a little hard) and then the soft stool passes out with minimal or no pain. There is no blood in the stool, I am applying the prep-h cream as well to take care of the hem. hoping that I get cured with this, and don't have to go for a surgery.
sunshine_atl
Fibre Addict
 
Posts: 23
Topics: 1
Joined: 19 Apr 2017, 20:19
Has thanked: 1 time
Been thanked: 0 time
Gender: None specified

Re: First CRS visit this week

Postby patience_and_healing » 07 May 2017, 21:29

What you are describing definitely sounds like a fissure. Some days I have the same experience as you, some pain during a BM, and for a short time after. Then nothing for the rest of the day except with long periods of sitting. It's possible the fissure just isn't visible any more upon examination. I really hope you can heal without further intervention.
8/16-12/16: Fissure due to antibiotics
5/17: Botox to sphincter, fissure healed
9/19: Trigger point injections and pudendal nerve block
11/19: Botox to pelvic floor
8/20: Botox to pelvic floor in new location.
Currently in pelvic physical therapy
patience_and_healing
Moderator
 
Posts: 973
Topics: 38
Joined: 24 Feb 2017, 15:46
Location: California
Has thanked: 58 times
Been thanked: 116 times
Gender: Female

Re: First CRS visit this week

Postby Bum_UK » 08 May 2017, 04:19

sunshine_atl wrote:hi Bum_UK,
So are you still having that pea sized lump (or what they refer as hemorrhoid) or did it go away after application of the cream you mentioned ? Are you still experiencing pain during the initial BM ?


Sorry for the late reply. I still have it and it prolapsed more after my third BM this morning. I managed to get it back in. I'm seeing the CRS tonight and I'll see what he says.
I do still have pain with the initial BM. It's not as bad as in the beginning but it still hurts.
Bum_UK
Proctosphincteranalogist
 
Posts: 276
Topics: 15
Joined: 31 Mar 2017, 04:33
Has thanked: 5 times
Been thanked: 19 times
Gender: None specified

Re: First CRS visit this week

Postby sunshine_atl » 14 Jun 2017, 10:16

thanks very much patience_healing for your response. After applying the prep-h cooling gel for quite a few days, I now don't feel any pea-shaped lump/boil during application. When I do have a hard stool, there is a very slight/minor pain but then whole day I do not experience any pain as such. After my bowel movement/bath, I do apply the prep-h cooling gel again (if I don't then I can feel the itching sensation). Once I apply this gel, I feel good and no pain at all. If I do take the laxative the previous night, it's even better due to softer BM (but I don't want to get used to the Miralax). do you still feel I should visit the doc for the minor pain/twinges during initial BM or will it eventually go away ? appreciate your response and thanks for your time.
sunshine_atl
Fibre Addict
 
Posts: 23
Topics: 1
Joined: 19 Apr 2017, 20:19
Has thanked: 1 time
Been thanked: 0 time
Gender: None specified

Re: First CRS visit this week

Postby patience_and_healing » 14 Jun 2017, 21:22

I think it sounds like you're pretty much healed up! I think you might be experiencing pain from the leftover fissure or perhaps from scar tissue. Are you able to be active without pain too? If it makes you feel better to find out what's going on in there then definitely go back and see your doctor. It may eventually go away but it would help you to know whether you've healed.
8/16-12/16: Fissure due to antibiotics
5/17: Botox to sphincter, fissure healed
9/19: Trigger point injections and pudendal nerve block
11/19: Botox to pelvic floor
8/20: Botox to pelvic floor in new location.
Currently in pelvic physical therapy
patience_and_healing
Moderator
 
Posts: 973
Topics: 38
Joined: 24 Feb 2017, 15:46
Location: California
Has thanked: 58 times
Been thanked: 116 times
Gender: Female

Re: First CRS visit this week

Postby sunshine_atl » 15 Jun 2017, 08:18

I think you are absolutely correct, it's probably the scar tissue. Today I did had a harder BM, but the pain was not like the one I used to have before (when the pea-shaped lump/boil existed). Also after the BM, I am not feeling the same type of pain, just having a little itching sensation. May be it's because of the scar tissue being stretched during the BM. Any idea if this heals up automatically ? Or should I keep on applying the h-prep cooling gel. I also have the niphedipine gel and the hydrocortizone creams that were prescribed by the rectal surgeon during my CRS visit. not sure which exact one would heal up the leftover fissure/scar tissue. Should I keep on taking the Miralax laxative each night for a softer BM (just don't want to get used to it) ?

appreciate your response and time in this matter. thanks again !
sunshine_atl
Fibre Addict
 
Posts: 23
Topics: 1
Joined: 19 Apr 2017, 20:19
Has thanked: 1 time
Been thanked: 0 time
Gender: None specified

Re: First CRS visit this week

Postby patience_and_healing » 16 Jun 2017, 20:45

Hydrocortisone will thin out the scar tissue so that's the opposite of what you want to do. Nifedipine will help keep things relaxed and improve the blood flow so no harm continuing with that. I think scar tissue is something that just takes its own time and can't be hurried. You sound like you have a lot of concerns though and I think it's best to have one more follow up visit and clear up all your questions.

I think miralax is fine to keep taking for now. It's not a habit forming laxative unlike Senna and others so don't worry about it for now until you are fully pain free.
8/16-12/16: Fissure due to antibiotics
5/17: Botox to sphincter, fissure healed
9/19: Trigger point injections and pudendal nerve block
11/19: Botox to pelvic floor
8/20: Botox to pelvic floor in new location.
Currently in pelvic physical therapy
patience_and_healing
Moderator
 
Posts: 973
Topics: 38
Joined: 24 Feb 2017, 15:46
Location: California
Has thanked: 58 times
Been thanked: 116 times
Gender: Female


  • Similar Topics
    Replies
    Views
    Last post

Return to General Anal Fissure Discussion



Who is online

Users browsing this forum: No registered users and 0 guests