Inflamation and sphincter tightening after LIS

Inflamation and sphincter tightening after LIS

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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Re: Inflamation and sphincter tightening after LIS

Postby Rich44 » 01 Nov 2025, 13:04

vasilisa wrote:hello Rich,

I was wondering if you are still healed and
if your anus feels different after 2 surgeries ?
kinda different but not painful anymore


thanks
v



Hi,

Yes, still wonderful five years post LIS this past week. The first surgery doesn’t really count to me. The LIS was the one that worked. I never have a problem and I have a BM like I always have in the last. I have had a few tiny fissures that were instantly fixed by a quick 20 minute warm sitz bath on top of the toilet (no tub needed). I can confidently say I will never be bothered by a chronic fissure again. And if I ever have a BM where it is so hard and compacted that it will not come out no matter how hard I strain I do not strain anymore. I use my index finger to dig it out and help it out. I have only had to so that a few times in five years. No strain, no blood, no fissure. Easy and effective. LIS was the best decision!


Rich44 wrote:My theory based on personal experience (and I am not a doctor) is anything that helps you have an easier BM is a bad idea in the long run. You need to learn to naturally have a pain-free BM without help. You are doing sitz baths post BM which is perfectly fine.

The reason a fissure can take forever to heal is mental. We tighten up for fear of pain and by tightening up we restrict the blood flood needed to heal the fissure and the cycle repeats itself endlessly. Then we take medications to make it easier like a stool softeners which can make the stool too soft and you tighten up even more. The stool must be bulky for a healthy normal BM.

Sitz baths after a BM are great and I recommend them. But if you are still having problems after you have a BM all while still doing sitz baths afterwards you should see the specialist again for further discussion. After the LIS and skin tag removal you should be on easy street.
[/quote]
Fissure June 2014 - Oct 2020
Botox, skin tag removed - Feb 2015
Levator Ani Sep 2014 - Feb 2016 (left job, cured!)
LIS, skin tags removed - Oct 2020
Fissure 100% healed - Nov 2020
Still 100% healed and HAPPY as of May 2026!
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Re: Inflamation and sphincter tightening after LIS

Postby vasilisa » 02 Nov 2025, 02:15

hey Rich ,
thanks for coming back and telling us that you are doing great!!!!!!

I know what you mean when some BM wont come out-
i just leave it inside and go through that unnerving sensation torture in anus till its ready to go out on its own.....

i cant and i wont dig inside cause my skin from steroids is super fragile
and there is so so much scar tissue that its better leave it alone......

also you are so right about relaxing completely - i think only now after 20 months of this horror im somehow able on easier days to be more calm ......

those burning days - that Hazey123 member had as well- are hard on my mental health- cause its been going for almost 2 years
and it brings back traumatic memory of early fissures inhuman pains and spasms agony!

in fact this trauma is always alive and became my ADN

there are members that assure me that somehow we can get 85 or even 90% of our lives back- and live with some daily aches and flares and find some happiness .....
2024 10 April Anoscopy brutal injury with multiple fissures
2024 June end realising what it was
2024 July huge sentinel pile protruding making me suicidal

mental distress due to sentinel pile
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vasilisa
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Re: Inflamation and sphincter tightening after LIS

Postby Rich44 » 02 Nov 2025, 12:03

The surgery is 100%. After 6 years of coping I was done. Couldn’t have been easier.

Good luck

vasilisa wrote:hey Rich ,
thanks for coming back and telling us that you are doing great!!!!!!

I know what you mean when some BM wont come out-
i just leave it inside and go through that unnerving sensation torture in anus till its ready to go out on its own.....

i cant and i wont dig inside cause my skin from steroids is super fragile
and there is so so much scar tissue that its better leave it alone......

also you are so right about relaxing completely - i think only now after 20 months of this horror im somehow able on easier days to be more calm ......

those burning days - that Hazey123 member had as well- are hard on my mental health- cause its been going for almost 2 years
and it brings back traumatic memory of early fissures inhuman pains and spasms agony!

in fact this trauma is always alive and became my ADN

there are members that assure me that somehow we can get 85 or even 90% of our lives back- and live with some daily aches and flares and find some happiness .....
Fissure June 2014 - Oct 2020
Botox, skin tag removed - Feb 2015
Levator Ani Sep 2014 - Feb 2016 (left job, cured!)
LIS, skin tags removed - Oct 2020
Fissure 100% healed - Nov 2020
Still 100% healed and HAPPY as of May 2026!
Rich44
Proctosphincteranalogist
 
Posts: 263
Joined: 07 Feb 2021, 16:41
Location: Chicago, IL
Has thanked: 7 times
Been thanked: 35 times
Gender: Male

Re: Inflamation and sphincter tightening after LIS

Postby vasilisa » 03 Nov 2025, 13:41

dear Rich,
surgery is anything but 100% success....
I really consider you being blessed by Divine Grace -
like 1 in a Million that you were recovered in 1 month
after LIS incision and skin tags removal....


there are members that only with 1 LIS or 1 skin tag removed-
are for life doomed to stay on miralax.....
2024 10 April Anoscopy brutal injury with multiple fissures
2024 June end realising what it was
2024 July huge sentinel pile protruding making me suicidal

mental distress due to sentinel pile
User avatar
vasilisa
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Re: Inflamation and sphincter tightening after LIS

Postby Rich44 » 03 Nov 2025, 21:26

You make it sound like I am a rare success story. I am not an exception and Divine Grace had nothing to do with it. The success rate for LIS is over 95%. 1 in a million to recover in three weeks? That is absolutely ridiculous. People recover in similar time frames all the time. If someone is afraid of surgery that’s on them. But focusing on the rare complication that it won’t work vs the near certainty of success is absolutely not how I am wired and I think is the wrong attitude.

My friend just had brain surgery to have a tumor removed. No one told him to hesitate to do it because there could be a 5% or 10% or 30% chance it would fail. We either do it with a positive attitude or we don’t.



vasilisa wrote:dear Rich,
surgery is anything but 100% success....
I really consider you being blessed by Divine Grace -
like 1 in a Million that you were recovered in 1 month
after LIS incision and skin tags removal....


there are members that only with 1 LIS or 1 skin tag removed-
are for life doomed to stay on miralax.....
Fissure June 2014 - Oct 2020
Botox, skin tag removed - Feb 2015
Levator Ani Sep 2014 - Feb 2016 (left job, cured!)
LIS, skin tags removed - Oct 2020
Fissure 100% healed - Nov 2020
Still 100% healed and HAPPY as of May 2026!
Rich44
Proctosphincteranalogist
 
Posts: 263
Joined: 07 Feb 2021, 16:41
Location: Chicago, IL
Has thanked: 7 times
Been thanked: 35 times
Gender: Male

Re: Inflamation and sphincter tightening after LIS

Postby vasilisa » 03 Nov 2025, 23:55

so before you told surgery is 100% , now . you say its over 95%?


and it has everything to do with Divine Grace!
2024 10 April Anoscopy brutal injury with multiple fissures
2024 June end realising what it was
2024 July huge sentinel pile protruding making me suicidal

mental distress due to sentinel pile
User avatar
vasilisa
Proctosphincteranalogist
 
Posts: 106
Topics: 2
Joined: 07 Sep 2024, 11:08
Has thanked: 72 times
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Re: Inflamation and sphincter tightening after LIS

Postby Rich44 » 04 Nov 2025, 07:31

vasilisa wrote:so before you told surgery is 100% , now . you say its over 95%?


and it has everything to do with Divine Grace!

And you said you were suicidal over a pile. So rather than have surgery to fix it you would rather end your life over that. That’s what you think is logical?

There is no such thing as Divine Grace. What saved me was my surgeon. Not some make believe nonsense. Divine Grace probably gave you that pile.

You want facts?

My fissure has been 100% healed for five years after surgery. No Divine help necessary.

Your anal problem is 100% not healed. No Divine help for you either.

How’s that working out for you? I recommend the surgery.
Fissure June 2014 - Oct 2020
Botox, skin tag removed - Feb 2015
Levator Ani Sep 2014 - Feb 2016 (left job, cured!)
LIS, skin tags removed - Oct 2020
Fissure 100% healed - Nov 2020
Still 100% healed and HAPPY as of May 2026!
Rich44
Proctosphincteranalogist
 
Posts: 263
Joined: 07 Feb 2021, 16:41
Location: Chicago, IL
Has thanked: 7 times
Been thanked: 35 times
Gender: Male

Re: Inflamation and sphincter tightening after LIS

Postby UKMan » 06 Nov 2025, 01:05

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Re: Inflamation and sphincter tightening after LIS

Postby vasilisa » 21 Nov 2025, 00:24

thanks Neil, I am seeing urogyncologist cause im having vaginal bulge that pains and burns and sitting is hell- feels like i sit on painful vaginal egg ....
i cant strain anymore, so those small pebbles that are at the exit but wont com out without straining- are end of my pelvic organ prolapse situation......

Im on a waiting list for disability ....
mentally i am dead inside
2024 10 April Anoscopy brutal injury with multiple fissures
2024 June end realising what it was
2024 July huge sentinel pile protruding making me suicidal

mental distress due to sentinel pile
User avatar
vasilisa
Proctosphincteranalogist
 
Posts: 106
Topics: 2
Joined: 07 Sep 2024, 11:08
Has thanked: 72 times
Been thanked: 2 times
Gender: None specified

Re: Inflamation and sphincter tightening after LIS

Postby UKMan » 21 Nov 2025, 01:11

Have you tried going to the toilet in acsitz bath with coconut oil in it? That has been a life saver for me in the past. There's a knack inbdoing it though. You kind of have to let the water with the oil in it to go inside that tight anus and gradually around the stool that you cant pass. If that makes sense?
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