Pelvic Floor Dysfunction

Fissure like pains...anyone?

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Re: Pelvic Floor Dysfunction

Postby owmybum » 03 Feb 2015, 07:39

Yes... Weak pelvic floor muscles don't support everything in there very well, so you get sagging and pressure. The aim of my phisio is to get everything tightened up and in it's right place doing its right job.

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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: Pelvic Floor Dysfunction

Postby Alyssa » 03 Feb 2015, 10:48

Wow... Tight and weak muscles both cause pain. I need to get mine relaxed to eliminate my pain and it's very hard to
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
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Re: Pelvic Floor Dysfunction

Postby owmybum » 06 Feb 2015, 04:01

Alyssa, pafen, msimon.... How are you all doing??

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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owmybum
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Re: Pelvic Floor Dysfunction

Postby pafen » 06 Feb 2015, 22:58

Hi everyone,

I have stopped taking the endep as I noticed I was waking up in the morning quite tired. The downside of this is I have noticed the burning pain is more sharp and my internal sphincter seems more sensitive to pressure. Even the presence of wind gives me more burning until it passes.

I am seeing my CRS on Monday who hopefully will perform a bit of an examination on me, he might even prefer to examine me under EUA as i haven't had a scope from him in a year or more. I have had the LIS on the left side yet my internal sphincter still seems very tight.

On my post op discharge form, it states I had a closed LIS procedure. Maybe not enough muscle was cut? The colorectal surgeon should be able to evaluate if everything down there is too tight or not.

Apart from that I am trying to keep active as possible, using things like heat pad and the tens machine instead of reaching for the drugs. But the end of the day of the burning pain does continue to annoy me enough I will be back on the endep.

I am also still using the dilators. It's gotten to a point they seem easier to insert if I use them daily. I noticed if I skip a day then everything seems to get really tight again quickly. I would have expected the dilation to have some permanent stretching effect?
Hemroidectomy, anal abscess, fissure, LIS
Pelvic floor Dysfunction since late 2012
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Re: Pelvic Floor Dysfunction

Postby pafen » 07 Feb 2015, 16:10

Everyone,

I also wonder if pelvic pain can take years to develop. Reason I sugges this, I have a female friend down the road from where I live. She had rectal surgery about 6 years ago. She developed chronic rectal pain but only in the last year or two which is interesting.

I would have thought any damage from the surgery the pain would have developed much earlier. She also has had plenty of investigations including colonoscopy, MRI of spine and pelvis, etc.

Or perhaps the true cause is not related to our surgeries at all.

For those that are suffering with the burning pain, I would suggest maybe talk to your GP about trialing a nerve pain drug such as amitriptyline. It doesn't completely stop the burning pain at the low dosages I am taking, but it certainly helps to keep the edge off it.
Hemroidectomy, anal abscess, fissure, LIS
Pelvic floor Dysfunction since late 2012
pafen
Proctosphincteranalogist
 
Posts: 130
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 07 Feb 2015, 22:16

I had a hemoroidectomy almost 6 years ago but this pain started 1 year ago; was wondering the same thing. I read somewhere that the body never forgets the pain, it's like post traumatic stress disorder.
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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Re: Pelvic Floor Dysfunction

Postby pafen » 08 Feb 2015, 03:16

Seeing my CRS tomorrow. I will be organizing a sigmoidoscopy to see if anything has changed in the last 2 years.

If this shows nothing I will probably proceed with my pain specialists neurostimulation suggestion.
Hemroidectomy, anal abscess, fissure, LIS
Pelvic floor Dysfunction since late 2012
pafen
Proctosphincteranalogist
 
Posts: 130
Topics: 8
Joined: 18 Aug 2014, 04:30
Location: Queensland Australia
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Re: Pelvic Floor Dysfunction

Postby pafen » 08 Feb 2015, 03:21

Alyssa,

I do remember how painful the hemroidectomy surgey was. If any of us knew how painful it is, we would probably never had it done.
Hemroidectomy, anal abscess, fissure, LIS
Pelvic floor Dysfunction since late 2012
pafen
Proctosphincteranalogist
 
Posts: 130
Topics: 8
Joined: 18 Aug 2014, 04:30
Location: Queensland Australia
Has thanked: 6 times
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 08 Feb 2015, 14:41

Pafen,

The surgery was so painful but I had no other option; my 5-6 hemeroids were so swollen like grapes and they were uncomfortable and painful.
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
VIP
 
Posts: 735
Topics: 26
Joined: 29 Apr 2014, 11:24
Location: San Jose, CA
Has thanked: 136 times
Been thanked: 41 times
Gender: Female

Re: Pelvic Floor Dysfunction

Postby pafen » 09 Feb 2015, 03:04

Alyssa,


We have both had that operation and ended up with a spasming pelvic floor.

Well I saw my CRS today. He has scheduled an EUA and sigmoidoscopy on the 17th of February. I don't expect any answers but considering I have had another flare up of pain, I want to make sure the dilation hadn't caused any harm inside. Then on the 24th of February I will see my pain specialist at the Sunshine Coast and will go from there.

I could have had this procedure tomorrow morning but that would be a bit quick for me to prepare for it. Seeing I have been in pain for so long I don't think its an emergency anyway.

He told me to use heat twice day, either a sitz bath or a wheat pack. He also mentioned about consuming more fibre in addition to the stool softeners.
Hemroidectomy, anal abscess, fissure, LIS
Pelvic floor Dysfunction since late 2012
pafen
Proctosphincteranalogist
 
Posts: 130
Topics: 8
Joined: 18 Aug 2014, 04:30
Location: Queensland Australia
Has thanked: 6 times
Been thanked: 12 times
Gender: Male


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