Innovations in chronic AF treatment

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Innovations in chronic AF treatment

Postby owmybum » 19 Mar 2013, 04:50

fissure after hem banding and tag removal feb 11
Pelvic floor therapy
Diltiazem
Botox June 13
Nitro
Internal flap July 14
EUA and polyps removed Nov 14
Diagnosed with neuropathy Jan 15
Diagnosed with HS EDS type 3 (causes poor wound healing )
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Re: Innovations in chronic AF treatment

Postby JHH » 19 Mar 2013, 05:09

Great link. Thanks.
What in the world is Gonyautoxin injections. I want one!
- Fissure developed in Jan '13
- Started rectogesic in Feb '13 and diltiazem Apr '13.
- Got botox Jun '13
- Healed by Okt '13, although I still had some irritation for about a year.
- New fissure April '22, healed June 2022
- New fissure 24. December 2023
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Re: Innovations in chronic AF treatment

Postby Rachael 1984 » 19 Mar 2013, 05:25

Me too! Lots of the damn stuff to kill the pain!
Hem Banding sept 2012
2Fissures
Nitro- Effective short term
April 2013-Botox-Effective short term
Diltazem-No effect, developed Rash
July 2014-Diagnosed High Resting Pressure
LIS performed on 17.9.14
Ongoing pain/re-tears. Awaiting pressure test results.
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Re: Innovations in chronic AF treatment

Postby nicholas48 » 27 Jan 2014, 17:47

I have tried to look it up in the united states but no go // has anyone had gonyautoxin injections in the us?? if so where? please ....
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Re: Innovations in chronic AF treatment

Postby msimon » 11 Aug 2014, 14:05

Anyone know what this means?

"In addition to the above two factors, it has been pos
-tulated that the pathogenesis of posterior anal fissures is
contributed by the repeated preferential over-stretching
of the posterior anal sphincter complex and perineum
[6,7].This is very likely secondary to the direction of the passage
of faeces due to the anorectal angle. Furthermore there
is a relative paucity of support between the coccyx and
the anorectal ring. This preferential over-stretching of
the posterior perineum need not occur with full perineal
descent. In these cases, any descent is likely to be very
subtle. Many of the patients with posterior anal fissures
actually do not have clinical perineal descent. This syndrome
in turn perpetuates the cycle of anal trauma causing pain
and increased internal sphincter tone which in turn leads
to mucosa ischemia and non-healing fissures. The fissure is
subsequently exposed to trauma again, restarting the whole cycle."
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: Innovations in chronic AF treatment

Postby mmklinemm » 11 Aug 2014, 14:59

I read this in Charlie Brown's parents' voice: blah blah blah squatting during BMs will help heal fissures blah blah blah. LOL! Seriously though, squatting allows the anorectal angle to straighten out, which allows the passage of BM to be much easier and more complete. I think that's basically what that passage is all about. When I fIrst learned about squatting, I used a wide step stool in my bathroom. The difference in pain and ease was HUGE. I've since bought a special stool called a Squatty Potty for each of my bathrooms. I'll never live without it, again.
Status: LIS 20 Oct 2014, 2nd LIS 05 March 2018.
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Re: Innovations in chronic AF treatment

Postby msimon » 11 Aug 2014, 15:16

Oh okay. Yeah, I have nonrelaxing puborectalis syndrome as well. Sometimes squatting works but often not. I think because the very bottom snaps shut from the fissure :(
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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