"Passing shards of glass" pain during BM only symptom?

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"Passing shards of glass" pain during BM only symptom?

Postby mercexe » 21 Mar 2018, 04:30

I have the "shards of glass" pain when having my daily BM and have had this every single day for about 2 months now, along with a small amount of blood when wiping.

I try to sitz bath straight after.

I don't really have any other pain (e.g. no spasms or pain AFTER the BM; only incredibly bad pain and some blood DURING the BM).

Does this mean my fissure is not so bad or what? I don't understand why everyone else seems to have ongoing pain but I don't (not that I am complaining!) However, the fact I am bleeding every day makes me think the fissure is tearing every single day and will never heal....

I've just started using GTN 0.2% but am wondering about LIS and whether that is something I should pursue given it's been over 2 months of pain during BMs now. On the flip side, it's not really preventing me living my normal life except for the extreme pain during BMs, so maybe LIS is a step too far? However, the anxiety of going for my daily BM is really starting to take its toll.
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Re: "Passing shards of glass" pain during BM only symptom?

Postby patience_and_healing » 21 Mar 2018, 11:29

It definitely sounds like a fissure. While it may not be very uncomfortable during the day, if you allow things to remain as they are then the pain may get worse, but possibly not. It's worth going to see a colorectal specialist to understand what your options are. You can ask about Botox if you don't want to jump to surgery immediately. It works for some people and provides some much needed relief. Good luck!
8/16-12/16: Fissure due to antibiotics
5/17: Botox to sphincter, fissure healed
9/19: Trigger point injections and pudendal nerve block
11/19: Botox to pelvic floor
8/20: Botox to pelvic floor in new location.
On and off in pelvic physical therapy
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Re: "Passing shards of glass" pain during BM only symptom?

Postby mercexe » 21 Mar 2018, 12:24

Thanks so much for your reply. I am definitely trying to get a CRS referral, especially because I have three fissures so I am extremely anxious that it could be indicative of something like Chrons/IBD etc.

Botox does sound like it's worth trying before going down the LIS route. I assume having Botox would not in any way impact on the efficacy of LIS, if the Botox failed and LIS was later required?
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Re: "Passing shards of glass" pain during BM only symptom?

Postby patience_and_healing » 21 Mar 2018, 18:13

No it would not affect the success of the LIS, but you would need to wait until it wears off in three months before having surgery if required.
8/16-12/16: Fissure due to antibiotics
5/17: Botox to sphincter, fissure healed
9/19: Trigger point injections and pudendal nerve block
11/19: Botox to pelvic floor
8/20: Botox to pelvic floor in new location.
On and off in pelvic physical therapy
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Re: "Passing shards of glass" pain during BM only symptom?

Postby missy moo » 29 Mar 2018, 17:38

I don't have spasms either but I have glass pain during bms an some soreness after here's a link if you want to check it out I had Botox 6 weeks ago but it seems to be fading now an my fissure hasn't healed I believe it would work if your fissure is newer mine is 4.5 years old an I also have trouble with hard tips of my stools which doesn't help here's the link anyway good luck.

https://cssanz.org/index.php/patients/anal-fissure
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Re: "Passing shards of glass" pain during BM only symptom?

Postby Katie » 31 Mar 2018, 08:15

Miss moo ask for the lis hun x
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