LIS on April 28th - questions

lots of after surgery questions

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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LIS on April 28th - questions

Postby sotiredofthis » 19 Apr 2014, 09:34

My surgery is scheduled for April 28th and I'm wondering what to expect following surgery as far as what I can do. My cousin had this surgery 2 years ago with the same surgeon I'm seeing on a Thursday and went back to work on Monday. CRAZY!! I'm praying my recovery is as good!

As of now I'm only having LIS. She may do a fissurectomy when she gets in there but I won't know until I wake up.

When is it normal to be able to continue regular life. ie. laundry, cooking, yard work, walking my dogs, driving my kids to their activities, going to church, sitting on my butt etc.

If you were incontinent to gas, could you hear it? Smell it? I would be so embarrassed if that happens in public. Especially at church!! There are pads for that I've found online.

when is the risk of infection over?

When can you know if you're going to be incontinent or not? Right away or later?

Anyone use pads after surgery? If so, which ones and how long? I just saw an advertisement for a brand called Butterfly for accidental bowel leakage. I think I'm going to get those and maybe some Poise pads? What do you think?

I have IBS so I'm worried about leakage or actual stool loss if I have an attack. I'll have to be careful with any Mirilax. I only use stool softeners right now.

Thanks!
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Re: LIS on April 28th - questions

Postby Rachael 1984 » 20 Apr 2014, 03:35

Hi STOT,
Good luck with the upcoming surgery..... I'm sure you will get some responses from people on here who have had the LIS and will reassure you. You will get your life back. Xxx
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: LIS on April 28th - questions

Postby Tight5 » 21 Apr 2014, 14:16

I had my LIS on a Friday. I took it VERY easy for the first few days. My only venture outside was Sunday to chat with some neighbors while the kids rode their bikes on the street. It was Wed. when I took a walk around the block...about half a mile. I think I took the kids somewhere in the car about that same time. By 1 week out I felt like I probably could have gone back to work...desk-bound stuff. I did not actually go back until the following Monday and did well. My suggestion...if you feel like you're ready to do something like the walk around the block, wait one more day.

I had a couple of times where gas slipped out on its own. But I could feel it both building up and escaping. I just couldn't stop it. That only lasted about 24 hours. After that I could hold it up if I had to.

I'm not a doctor but I would guess there is risk of infection as long as there's an open wound.

I used pads for drainage. I burned through my wife's supply pretty quickly. When I restocked I bought store-brand mini- and maxis, tapering to just the minis after about 2 weeks.

Good luck and let us know how it goes.
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Re: LIS on April 28th - questions

Postby sotiredofthis » 21 Apr 2014, 15:09

Thanks, Tight5! How long has it been since your surgery? How are you feeling now?
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Re: LIS on April 28th - questions

Postby vdb324 » 21 Apr 2014, 18:01

Hey there. I have IBS, as well, and I had hardly any problems with incontinence, other than a little bit of gas once in a blue moon. But, even then, it's not like I couldn't tell it was going to happen - it's just a bit harder to hold in.
Feb. 2013 - Developed AF
July 2013 - Diagnosed AF;nifidepine lidocaine treatment
Oct. 2013 - 1st round of Botox & skin tag removal
Dec. 2013 - 2nd Botox
March 2014 - Spinchterotomy
June 2015 - Diagnosed with Pelvic Floor Dysfunction/Vulvodynia
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Re: LIS on April 28th - questions

Postby sotiredofthis » 21 Apr 2014, 18:35

Thank you vdb324! That's exactly what I need to hear!!!!
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Re: LIS on April 28th - questions

Postby Rachael 1984 » 26 Apr 2014, 14:35

Hi STOT,
Good luck for Monday. I will be thinking of you. Let's hope now you are having the surgery it will be the beginning of the end.
Sending you my very best wishes.
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: LIS on April 28th - questions

Postby sotiredofthis » 26 Apr 2014, 14:56

Thanks, Rachael. I saw my doctor for my pre-op on Wednesday and she is planning a very conservative cut. She said she can always go in and cut more if need be but best to be on the conservative side to lessen my side effects. I completely agree with that!

My fissure isn't terrible all the time, it just won't heal all the way and keeps re-tearing. That is when it is so incredibly miserable as you know! I also have a very high anal resting pressure which keeps it from completely healing. You know, I never thought in a million years I'd be having surgery on this part of my body!

Thanks for the wished and thoughts. I'll post how I'm doing as I go along. I'm nervous but feel like at this point I really don't have any other choice.

Here's to healing days!
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Re: LIS on April 28th - questions

Postby vdb324 » 26 Apr 2014, 20:32

Sotiredofthis, best of luck. Your experience sounds similar to mine. I didn't have pain all the time (which I am very grateful for!), but it just wouldn't heal. I hope everything goes well!
Feb. 2013 - Developed AF
July 2013 - Diagnosed AF;nifidepine lidocaine treatment
Oct. 2013 - 1st round of Botox & skin tag removal
Dec. 2013 - 2nd Botox
March 2014 - Spinchterotomy
June 2015 - Diagnosed with Pelvic Floor Dysfunction/Vulvodynia
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Re: LIS on April 28th - questions

Postby owmybum » 27 Apr 2014, 03:50

Good luck with your surgery sotiredofthis.

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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