Hi everyone,
I am a 34 year old from NYC. In march this year, i had an emergency hemorrhoidectomy and LIS surgery in India. In the 2 months following surgery i developed IBS-D due to the antibiotics and laxatives and was struggling with incomplete evacuation even though I was having 4-5 bowel movements a day.
When i returned to NYC in April and met my CRS from Columbia hospital, he diagnosed me with anal stenosis. I had also developed a fissure by now because of all the straining to pass stools due to my feeling of incomplete evacuation. He recommended anal dilation for the stenosis but also warned me that it would take a few tries before things got back to normal. A week ago, I underwent dilation for the stenosis. He also injected a kenalog injection for the scar tissue/Fissure from what i understand. Ever since my surgery, I am passing bigger stools and have lost the feeling of incomplete evacuation which is such a relief. I also only have a 2-3 bowel movements a day. However the bad news is, I am bleeding with every bowel movement that I have.
I currently take 2 colace tablets -100mg a day, a spoon of lactulose and a spoon of miralax on a daily basis. I also take 2 spoons of olive oil to help keep my bowel movements smooth and soft. Yet, inspite of all this, I still have streaks of blood on my stools each time. I am really worried that in spite of 3 procedures, LIS, dilation and a kenalog injection- i have fissures that bleed. I do not have pain after my bowel movements. The pain is minimal- maybe a 2 on a 10. However, the blood worries me since it indicates that the wound is not healing and I am not sure what my options are anymore at all.
Does anyone have any advise. Please help.