My fissure journey

Diary of my mad sphincter

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: My fissure journey

Postby woundedspirit » 06 Mar 2015, 22:17

Hey m. I see things are not going the best for you. We just have to keep keeping on. It is really good the infection is no longer present. Very good. I wish I had more to encourage you with today but I just kinda feel empty. I am sure it will pass.
Hemorrhoid Surgery
Scar Tissue
2 Anal Fissures
Failure of All Topical Treatments
Failed LIS
[size=85]EUA and Fissurectomy
Hoping to avoid Flap Surgery
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Re: My fissure journey

Postby msimon » 08 Mar 2015, 13:29

Thanks for the ongoing support everyone. I went 11 days without bleeding on my BM but it has started again. A little bit yesterday and yet I had one of the least painful days for a while. I actually baked a cake! But then this morning bled more and am really sore and spasmy feeling :(

I just don't know what to think. It's been a month now since this wound was laid open and I don't know if this is to be expected or if I am going to be screwed as it sure feels like a fissure all over again. It sounds like it was about 1.5cm in diameter, which would be a damn large fissure, IMO. How long do you think it should take to heal this thing? And to stop bleeding? I finally healed my fissure up only to have this to deal with. I feel like I just can't take it anymore!

See my CRS this Thursday and hopefully will get some answers. Think I may have to botox the internal sphincter as it is so tight during BM I think this is a big part of the problem.
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: My fissure journey

Postby owmybum » 08 Mar 2015, 14:18

I'm sorry you still have this uphill struggle going on.

I am sure it will take at least a couple of months to heal a fistula as it heals from the inside up. My large fissure I had from the flap surgery took near on 5 months to heal.

Unfortunatly it's the the same old mantra.... Patients and time, patients and time.

I hope you get some more insight into how things are doing on Thursday.

:comfort: :hugs: :huggies:
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: My fissure journey

Postby Still hoping » 12 Mar 2015, 12:43

I hope that your appointment goes well. I really hope the doctor can give you some more insight and help you. Let us know how it goes.
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Re: My fissure journey

Postby owmybum » 13 Mar 2015, 04:09

Any news msimon??
How are you doing??
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: My fissure journey

Postby msimon » 13 Mar 2015, 11:17

Well my CRS was painfully thorough with his assessment and left me quite sore. Quite a bit of bleeding today :(

He said that the unroofing has basically evolved now to a fissure (4 X 2 mm) and it ends right at the anal verge so he is not surprised by the bleeding and spasms. He also poked around and felt the swelling didn't hold any fluid or infection so that is good. I have another follow up in 2 weeks, at which time he thought it should be healed. Seemed very confident of it since I had the LIS. I hope he is right!
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: My fissure journey

Postby chachacha » 13 Mar 2015, 11:51

Other than the painful exam, that sounds like quite a positive result. I hope that he is right and things improve for you soon.

:goodnews:
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: My fissure journey

Postby Turk the cat » 13 Mar 2015, 13:04

Sorry about the pain my dear M, but it sounds like reassuring news.

Hang in there!
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Re: My fissure journey

Postby Still hoping » 19 Mar 2015, 11:08

How are things going these days msimon? Any improvement since you saw the doctor last week? I hope things are healing.
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Re: My fissure journey

Postby msimon » 19 Mar 2015, 12:11

Thanks for asking Still hoping. I haven't had much reprieve from pain, especially in the several hours after my BMs in the morning. I am wondering if I am keeping things too soft (at times is almost watery and always a bit caustic) but I really don't think I would be able to pass anything formed so I continue with this. I assume it's just irritating and not harmful as this seems to be the only way I don't bleed. I am scared to say (because I usually jinx myself) but the bleeding has mostly stopped and there is a lot less drainage, almost none. Unfortunately though it feels just like a bad fissure now :( The area is so sore and spasmy I can hardly touch it and that includes having my hubby take a look so I don't know if it is actually healing or not. I sure hope so. I have another follow up with the CRS on the 26th and I am already afraid to let him near me! Don't know what I am going to do about that but I guess he has to look on account of the infection...

How are you doing? Any improvement/next steps?
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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