LIS and fissurectomy recovery

When can I expect pain to go down

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: LIS and fissurectomy recovery

Postby skumar » 24 Dec 2013, 06:07

3 weeks update:

Less pain, less discomfort during bm but I feel little burning till 4-5 hours after bm. Not too much but its there to make me feel that its there. Overall I am happy that I took the decision to have the surgery. Non stool softer no mom. Just 3 dose of metamucil a day. Followed my doc's post surgery instructions religiously for first 2 weeks and even now. I still have little swellings but that should go away soon as per my doctor. Started enjoying motherhood which I could not for first 3 moths. Baby is now close to 3 months. Started my office last week and its more easy now to carry out office work. No accidents so far.

My question is how long I should use the anusol/anucort hydrocortisone. Suppositories to soften the scar tissue? 1 week , 2 weeks ? Anyone used it after lis, fissuretectomy, tag removed?
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Re: LIS and fissurectomy recovery

Postby skumar » 24 Dec 2013, 06:07

3 weeks update:

Less pain, less discomfort during bm but I feel little burning till 4-5 hours after bm. Not too much but its there to make me feel that its there. Overall I am happy that I took the decision to have the surgery. Non stool softer no mom. Just 3 dose of metamucil a day. Followed my doc's post surgery instructions religiously for first 2 weeks and even now. I still have little swellings but that should go away soon as per my doctor. Started enjoying motherhood which I could not for first 3 moths. Baby is now close to 3 months. Started my office last week and its more easy now to carry out office work. No accidents so far.

My question is how long I should use the anusol/anucort hydrocortisone. Suppositories to soften the scar tissue? 1 week , 2 weeks ? Anyone used it after lis, fissuretectomy, tag removed?
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Re: LIS and fissurectomy recovery

Postby suzyljank » 24 Dec 2013, 10:59

Hi, I wouldn't use the anusol hydrocortisone for more than 2 weeks. Cortisone thins the skin and makes it more likely to tear. As far as the burning goes. I had it off and on for quite a while after surgery but it eventually goes away. It wasn't bad just there. It takes a while for things to settle down and heal after surgery, especially in that tender area of the body.
Sounds like you're on the road to recovery. Merry Christmas, Suzy.
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Re: LIS and fissurectomy recovery

Postby skumar » 31 Dec 2013, 12:28

4 weeks update:

I thought I was doing great till y'day. Today morning I had little hard BM though there was no change in the diet , just two additional peanut milk chocolate. After that started feeling sore in the opening and more burning. I am taken back with this set back. Dishearten , sad and scared. Called up doctor but he will not see me until Monday, becoz its shrt week. Feel like crying, Why God has put me into this ?
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Re: LIS and fissurectomy recovery

Postby skumar » 07 Jan 2014, 06:16

5 weeks update.

No discharge, no bleeding but some discharge. I found that may be raisin bran cereals were making me constipated so stopped it. After that one day hard bm I am doing good. Little burning is still there which will go eventually as per my doc. Yday had doc visit and I told him that I feel this tightness, pulling, stretching during BM and he said all that comes from scar tissue which I have developed. He also mentioned that he didn't cut more to avoid incontinent. I have to deal with this scar tissues forever and askede to continue with Suppositories. When asked if that thins the skin then he smiled back and said he knows what he is doing. Saw him smiled first time in last year so I am hopeful that he will fix me eventually since he is very experienced doc. He used some anoscope I believe and incision is heeling fine.
So now for me the biggest issue is scar tissues. I really feel pulling hard so much during BM.. Suzy you are so truely said in some of your comments in other post. These scar tissues can lead to further dialation or advanced flap surgery. I am not giving up until I get my life back.
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Re: LIS and fissurectomy recovery

Postby suzyljank » 07 Jan 2014, 08:59

Hi skumar. If your scar tissue is new and a result of your surgery dilation can help keep it pliable. My doctor had me do this every day starting one week after surgery. Now I do it every other day. It really helps with the tightness. It takes about 2 years for scar tissue to set. That's why stretching it helps. Start out with a small diameter dilator. 19 mm is the largest one I have. I have a few smaller ones that go in easy, the 19 mm takes a little longer to do but my doctor told me you have to feel it stretching for it to be working. I still feel it but it's way better than when I first started. Good luck hope everything works out for you. Suzy
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Re: LIS and fissurectomy recovery

Postby skumar » 09 Jan 2014, 06:00

Thanks. I feel the Suppositories are helping me. Today did not feel that much stretch and pulling. I have an appmnt after a mo.th so will talk about dialation with my doctor if situation persist.
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Re: LIS and fissurectomy recovery

Postby skumar » 09 Jan 2014, 16:10

I have seen many some posts where person is very scared for lis. Let me post my whole journey from my suffering till date. That might help someone out there. If I am feeling good now then they will sure if they have the right doctor.

First in 2005 I got this fissure when I joined my IT job after completing my masters. I was in terrible pain and BM were very painfull. Went to doctor and he said my opening is small and he has to cut it little to make it big. I was not married then and was living in a different city then my parents so decided to come back to my hometown to get second opinion . Too 15 days off from work. Doc from my place put my on the same regime and said it will heal, surgery is not needed. So after much care from my parent in terms of food and care I healed. Went back to job. Then on and off I would this but used to heal fast for next 8-9 yrs. It came back and this time worse than before when I was pregnant with my first kid. During prgnancy you can take any laxatives and my OB did not give me any stool softners so I suffered a lot. My OB did not send me to the GI as well so because of the delay I got skin tags which persisted after delivery too but things became ok again after that so I never really thought of getting the surgery because I would take stool softners for 1 week whenever it would happen and things were in control. It started becoming more frequent in 2012 and I went to a doctor. He diagnosed it as a internal hemi and told skin tags are external hemi. I believed and it was the biggest mistakes I did. the doc said he will performed banding in three session and everything will be fine. Banding was scheduled i 15 days apart each so that took 1-1/2 month 2012 Oct. But I could see skin tags were still there so I was dissapointed. So I consulated a second doctor who was a CRS and he said it's fissure. DAMN..............He put me on .2% nifedipine and lidocaine, sitz bath for a month and after a month confirmed that it's healed but skin tags will not bother you. I had two of them. I had suffered so much by then but relaxed a but that major problem has been fixed.

In Feb 2014 I was pregnant with 2nd kid. It again came back the day I knew I am pregnant and I was devastated because I knew if you are pregnant with this problem then there is no hope. In US no one will touch a pregnant lady to perform any minor procedure. Went to my CRS again and he felt bad for me. My skin tags used to swollen so much that I could not sit. So much tensed that could not sleep. Thought of using restroom in the morning would kept me awake whole night night. I was put under again those regimens(I tried all creams you name it) by my CRS but nothing helped. Spasms were so sever that I used to run and sit in hot tub and literely were in tears. I was a working Mom then so my family suffered along with me. Spasm were so sever that I could not resist and my CRS termed as aliviated Spasm and said that can make any one cry. I was 2-1/2 months preggy. My OB referred my to specialists but they said the same thing. We told CRS that perform the LIS since nothing is working out. He was feeling sorry for me but also said that anesthesia could bring miscarriage and I was in tears again. He said wait for first trimister to complete and then survival of the unborn is high so I waited with that pain. My Pregnancy was leading to more fissure. In second trimister we scheduled the surgery and the doctor asked us to sign the consent form where it was mentioned that I could lose my baby and I was all shacken by this and did not turn up for the surgery. How can I put my baby in danger knowingly? Thought anyway I have suffered so long and crossed 4 months so let's suffer for more 5 months but I can't lose my baby. I had seen my unborn baby images by that in ultrasound so I did not have the courage to go for it. Then it started stool softners, MOM, all creams, sitz bath, no non veg, dinner by 6PM, all veggi, no eating outside, no caffiene,no diary product you name it. I was on strict diet basically ate same regimen for 5 months non stop, same food everyday for breakfast , lunch , dinner whatever I thought made me feel good for my body and did not constipate me and kept the BM very loose so the fissure spasm can be avoided but my rectum open was so small for me and with recurrent fissure since many months and spasm made me so narrow so I was surviving on same food. My prenatal vitamins did not have the Iron since Iron constipated me. Took spinach to balanace the Iron need. My OB understood and never forced me to take Iron suppliment though I was low because she knew my problem. So my OB and CRS basically wanted me to cross the rest 5 months somehow so that baby will be out with no danger. I lived in a terror all day since then thinking if my restricted diet is getting enough vitamins , iron to my baby. If she is growing well? Sleepless night thinking how will be the BM tomorrow? How will be the pain tomorrow? anyway crossed till 8 months preg and in by the end of 8th month it became more sever. Tags were swollen like anything, one more thrombosed hemi and the all baby weight(tummy) made the rectum area so much pressed then I was only passing pencil thin BM. If it's more tan that size then it would bring the fissure pain all again. Taking little MOM to avoid that. I knew I am in problem, pencil thin BM or watery BM was attributing to narrowness more. So went to CRS and OB again. OB said she can't do anything so talk to CRS. CRS said if you have sufferent for 8 months then why to do any surgery now, let's cross this last one month. He will perform the LIS, fissurectomy, skin tag removal all after first week of the delivery. My OB scheduled for C -section because she knew no way I can go for normal with existing issue. So I was counting every day and praying God to keep my baby safe with usage of these creams, stool softners, MOM, no iron, strict diet. I only put on 13-14 pounds in pregnancy so I was still petite. As the day progressed in 9th month, I insisted my OB to have early C-section but she declined saying it would harm the baby. Consulated one more OB and she was sympethized but said the same. But asked me to take 2 advil at 4 AM so that early BM would be less painful and swelling would go down. Problem was every doc understood the problem and my sufferings but new born's life is more important so all asked me to leave with it till I go in labour naturally.

I prayed every single day to God and said you are the only hope. And finally I went to labor 38 week 4 days and delivered a beautiful girl baby. Tears rushed continuously when Doctor said she is a healthy baby. Anyway my suffering did not stop since the pain killers percoset given right after C-sections were constipating so my OB asked me to take only Advil 600mg. Can you believe it ? Yes it happened so I took only advil to recover from the C-Section pain. Difficult but I had to do it. My Blood Pressure were low because of Iron deficiency but I was not given any iron tablet. so survived another 15 days somehow and fissure came back. I knew I could not take two surgery pain and new born baby feeding schedule all at the same time so waited another 15 days. My CRS had told me , whenever you think you are ready for the LIS , just give me a call and I called him after one month of my C-section. Had the surgery LIS, skin tag removal, fissurectomy done on Dec 2nd 2013. You see my update every week since then in the same thread.

You see what I went through and finally happy that I had gone for LIS so whoever out there in this site, suffering from fissure pain just have a believe that God is out there. When noone is around then he will take care of you. It happened with me. Now I always get tears whenever pediatrics , nurse or anyone says baby is healthy during regular checkups. Only I know how I have brought this baby in this world !!!!!!!

Hang in there, you will be just fine after LIS if done by good CRS.
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Re: LIS and fissurectomy recovery

Postby owmybum » 10 Jan 2014, 04:19

Thank you so much for taking the time to write this!!
You have been through an awful lot..... I'm so glad you finally got the LIS.

OMB x
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: LIS and fissurectomy recovery

Postby skumar » 10 Jan 2014, 06:31

Yes, just wish that I should forget those days completely as if that never happened. I was a daily reader of this post since last 1year atleast. Comforted me by reading everyones post. This site was my friend because I can bet no-one else can understand this trauma than these friends in this group. My husband have been very supportive and his first question in the morning would be " how was the BM? All good?"
Ha ha....... When a lady of the house go through pregnancy complecations and fissure trauma then the whole house suffers. I pray God to give everyone the strength to go over this.
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