MPB. Long time and sorry to hear you have a setback and Fissure. Dont feel alone. I have a external hemmy that may be the source of my pain . Had a colonoscopy back in Nov all normal. So Now I am taking Gabapentin 600 mg a day as my GI thinks I may have some sort of pudendal nerve impingement. Going to see a pain mgmt specialist with pudendal nerve experience issues on Monday. Will see as the discomfort continues 27 months after LIS. Sooo either its the External hemmy or the pudendal nerve. Life can be such a mystery

Oh no Jim that’s not great, I have 4 external hems but they only hurt after a flare and only for a bit. I take gabapentin but only 300mg when I’m having a flare it’s the only thing I have found that stops spasm pain so I’m guessing that it’s great for nerve pain.
Hope the pain management specialist gives you some good advice.
Nope I’m not impressed that 26 months after LIS I am now getting small spasms again...yes I know my flare set it off but I’m thinking if they made the cut ,raged then my IS wouldn’t have regained tone quite as quick. I’m going to ask for another pressure test to see how high it is now

Yes the Gabapentin helps which is why I suspect some nerve impingment. At least .thats whay my GI said she thinks it is. I had a terribke fall back in 2014 and broke a blood vessel in my foot. I have read that something like that can cause PN.

Oh gosh Jim I wouldn’t have imagined that a fall could cause something like PN....the human body really is a mystery and half the time docs can’t even tell you why something is happening....I blame a lot of my issues on being premature

Well noone has told me its PN probably isnt but have explore all the possibilities. I doubt it cause I would be numb in the pelvic area if it was PN. So will see

Missy,
Good luck with the procedure. The Botox should help while the fissurectomy is healing up. I had the option of Botox instead of the LIS, but decided to opt for the more permanent solution. In the end its what works best for you. I just felt after 20-odd years of endless issues, I felt I needed to take a bigger step.

MPB,
I'm really sorry to hear you're going through a tough time at the moment. I'd imagine the Crohns complicates everything. Do you know why you get flare ups or does it appear fairly random? For me, having the LIS wasn't quite the magic bullet I'd have wished for, but in no way do I regret having it done, despite several issues post op. Let us know how you get on when you see your CRS. Hopefully he/she can get it back under control for you.

Hi banjo,
I struggle with the steroids used to treat my crohns as my liver doesn’t like them, so I often have to give my liver a “rest” the flares usually happen during that time, or when life is really hectic.
I do not regret my LIS in any way and would happily have another for two years pain free. No for many of us it isn’t the happily ever after but it’s happy for a while.
I’m hoping my CRS will see me soon as my next scheduled appointment isn’t till September so I don’t want to wait till then

18 months post LiS and still have flareups and minor retears but I am pretty sure its got alot to do with diet. I do metamucil in am stool softner at night and fiber but not enough so no wonder I kerp having the problem. Been straining to much but no blood which surprises me. But I sure do feel it after a BM and when sitting to long. So either I give up the coffee ice cream pizza sugar crap or continue to have the problem. I take Diazepam 5mg for the spasms I still have my nifid and nitro so my point is Its up to me. Now I am scheduled for a PN nerve block on may 24. Wonder if I should

Well my fissure is officially back and I’m going to have the manamotery test under general anaesthetic and then they decide whether to give me Botox or a 2nd LIS
It’s certainly not hurting as much as the original fissure but when I go more than twice a day the spasms start and pain has on occasion gone up to about an 8
So I know how you feel Jim, for some of us LIS doesn’t offer as much relief as it does for others

Yea those of us that know that burning stinging awful pain down there can pinpoint whats going on. All Lis did for me was enable it to heal quicker on a retear. Bjt when we feel tge glass we know and its always a hard one for me that dies it. There was a period where BM were doing pretty good but all it takes is one straiber and well we know the rest. I guess wgen they did my LIS I thought that wascit and I was done with it. Wow was I ever wrong.