Fissure healed with nifedipine but still have pain

Pain despite being declared "healed"

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Re: Fissure healed with nifedipine but still have pain

Postby Alyssa » 30 Jul 2014, 16:26

sweetpea,

I've been to several doctors now (4 CRS, 2 general surgeons, 1 GP, 1 gastro) and done a colonoscopy and there is nothing there... :(
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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Re: Fissure healed with nifedipine but still have pain

Postby Alyssa » 06 Aug 2014, 12:03

I saw the Chronic Pain Specialist at Kaiser in San Francisco (Dr. Schmitt) on Monday and she basically stated that my muscles were so tight that they are causing me to have minor lesions (fissures) around the anus when I have a BM. I cried because she described exactly what I have been telling doctors for the past few months. She stated that when things were tight, it causes little fissures that may be invisible to the eye. She suggested that I get botox on the muscles to help relax them....

Some doctors have stated that I have a normal sphincter and others have stated that it is tight (confusing right)? I've been to so many doctors and none have stated this, I just don't understand just because they don't see an active fissure does not mean that I don't need help! I am feeling a little hopeful :)
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
VIP
 
Posts: 735
Topics: 26
Joined: 29 Apr 2014, 11:24
Location: San Jose, CA
Has thanked: 136 times
Been thanked: 41 times
Gender: Female

Re: Fissure healed with nifedipine but still have pain

Postby Alyssa » 10 Aug 2014, 20:06

I just finished reading my papers from my last appointment; the doctor basically thinks that "my pain is coming from spasms in the muscles of the abdominal wall and the pelvic floor"; which they refer to it as Myofascial pain. "Pain is typically worse with physical activity, intercourse or bowel movements". Mine is only during BM....

How does someone with a fissure end up with such a complicated diagnosis/ treatment for something so simple as a fissure?
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
VIP
 
Posts: 735
Topics: 26
Joined: 29 Apr 2014, 11:24
Location: San Jose, CA
Has thanked: 136 times
Been thanked: 41 times
Gender: Female


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