Hi Fern, thanks for your reply. I'm still having a lot of fissure pain. My BMs have been too formed despite taking a lot of laxative. I can only handle pretty liquidy BMs, otherwise I tear. It's been ripping me every time I go to the bathroom. I'm disappointed that this is happening even after botox. I'm also still using the diltiazem.

My next appointment isn't until early January, to talk about possibly getting more botox. My doctor is out on maternity leave now. Not that there is anything she can do right now anyway.

I hope you're doing ok. Any improvement?

Is really difficult to find the right combo to have the perfect poo. I've been having to take a little less miralax the last couple weeks. If I have liquid poo it stings the fissures so bad. Mine have to be soft, kinda like tooth paste. I take 3 stool softners and miralax but a bit above a half dose. I take this every evening. I eat about 16 grams of fiber a day, anything above that and then I have to go poo again (no way I want that, 1 poo a day is more than enough for my bum to handle).
I'm so sorry you are going through this, it really is an up and down, a roller-coaster.
So I saw the CRS again this Wednesday. I've been on Nifedipine for the last 3 weeks. He checked out my bum and said I was healing and that he doesn't recommend surgery at the moment. I'm a worry wort so I asked him what happens if I start bleeding and having extreme fissure pain again? He said : "then will do the surgery ". He also reminded me it would be second surgery with a possibility of incontinence.
I've been feeling better no extreme pain just a feeling of having the fissure there and bothering me. I feel like for now I gotta keep living with this dreadful situation. I hope we can both start healing soon. I hope you find relief from the pain soon. Maybe moving up your appt with the new CRS? Sending you positive thoughts!

Fern wrote:Is really difficult to find the right combo to have the perfect poo. I've been having to take a little less miralax the last couple weeks. If I have liquid poo it stings the fissures so bad. Mine have to be soft, kinda like tooth paste. I take 3 stool softners and miralax but a bit above a half dose. I take this every evening. I eat about 16 grams of fiber a day, anything above that and then I have to go poo again (no way I want that, 1 poo a day is more than enough for my bum to handle).
I'm so sorry you are going through this, it really is an up and down, a roller-coaster.
So I saw the CRS again this Wednesday. I've been on Nifedipine for the last 3 weeks. He checked out my bum and said I was healing and that he doesn't recommend surgery at the moment. I'm a worry wort so I asked him what happens if I start bleeding and having extreme fissure pain again? He said : "then will do the surgery ". He also reminded me it would be second surgery with a possibility of incontinence.
I've been feeling better no extreme pain just a feeling of having the fissure there and bothering me. I feel like for now I gotta keep living with this dreadful situation. I hope we can both start healing soon. I hope you find relief from the pain soon. Maybe moving up your appt with the new CRS? Sending you positive thoughts!

I red your posts and I am so so sorry for your life during 12 years of fissure horror... I am into my 7th month with multiple fissures from anoscopy injury and I have no idea where I am with my healing or if I am healing at all!? I have very painful BM - but its just during passing stools ! other times are just discomfort ant very tight sphincter that makes me scared and think its an anal stenosis! I wonder if you can tell me after you were healed after 6 years - what were your last year of healing anal pains and sensations? thank you for any input

Hi Vasilisa,
In sorry for the late response . I feel I know I'm healed when i no longer feel spasms. The tight feeling in the bum is gone and I can have acidic foods with out feeling sting in my bum after a bowel movement. The sting in the bum is major indicador if I'm healed or not. Sorry to be so open but even sweating can cause sting in the bum and when I can sweat and no longer feel a sting down there I know I'm healed at least 90 something percent. I'm sorry about your multiple fissures. I hope you heal and feel relief soon. It really does require a patience that is beyond normal. Wishing you the best of healing.

Fern wrote:Hi Vasilisa,
In sorry for the late response . I feel I know I'm healed when i no longer feel spasms. The tight feeling in the bum is gone and I can have acidic foods with out feeling sting in my bum after a bowel movement. The sting in the bum is major indicador if I'm healed or not. Sorry to be so open but even sweating can cause sting in the bum and when I can sweat and no longer feel a sting down there I know I'm healed at least 90 something percent. I'm sorry about your multiple fissures. I hope you heal and feel relief soon. It really does require a patience that is beyond normal. Wishing you the best of healing.

hello Fern, thank you for your reply. I contacted again my GP who dismissed my worries about anal stenosis and told that it will heal.... well pains during BM are ripping and tearing scar tissue pains and impossible to fit finger tip inside.
My psychologist gave to me some tips how to deal with stoma bag fear . its so hard and I am lost like never in my life ... thoughts about future are all about being physically diminished and suffering....

Vasilissa I'm so sorry to hear the pain is still so intense.i highly suggest you switch from a Gp to a colon rectal surgeon. Honestly I feel a gp has no idea what fissure pain is, some don't even know what it is. My gp had to Google it, he kept saying hemorroides and I was like no fissure, anal fissures.
Are you currently on any meds for the fissures?

Hello Vasilisa,

Agree with Fern; you need to have an appointment with a CRS; GPs are just that - general doctors! But do some research of their reviews cause there are crappy CRSs too! which maybe you already experienced with anoscopy injury?

If you cannot get a fingertip in don't assume anal stenosis because as I said I could not do either when in the acute phase (didnt know I had fissure at time but suspected) when diagnosed with hypertonic pelvic floor only with severe anal spasms/pain every day post BMs for ~ 6 months. There is much inflammation with some fissures so anus is going to be swollen almost shut at least was case with me. The second fissure was about same old location as first (also misdiagnosed 1.5 yrs previously); CRS said something like the more injuries/trauma in anus more potential complications and challenges with healing. SO if you have multiple fissures at same time must be much inflammation in there!

Also wanted to point out and for others here, that just because you have narrow stools doesn't mean you have stenosis. I have narrow stools on occasion but it is related to tight sphincter which I can feel after using finger; makes sense when it doesn't open fully being tight then poop has to squeeze out through a tiny hole. Once it loosens a bit on other days, I have much bigger poops and again can confirm after with finger.

It is a long journey...I am healed of fissures but still struggle with tightness and anxiety so could get another one. I also have bleeding hemorrhoids that were as a result of the tightness for years and permanent damage now:(

I PM'd you also.

Hope you have some better days ahead.

Hello G, thanks for taking time and giving your support....


I am trying to figure it out - why horrible injuries and accidents one after another were raining on me since 2023 May and
for damn thing why there is no NOBEL Price to GABOR MATE - when body says NO !!!!!!! if this book landed in my hands years and years ago - all this pain and suffering could have been avoided ....


I red that there are Asymptomatic Anal Stenosis patients - which shows that this hell of condition falls into Body Mind category ... thats why so many members are talking about mind healing, changing your believes and ultimately your persona .... blurred line between mental and physical

https://www.tmswiki.org/forum/threads/f ... tal.22055/