Healing or not...

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Healing or not...

Postby Bru55 » 05 May 2019, 15:17

I'm a 63/yr old male that was just diagnosed with AF's (hopefully only one). My Primary Care Doctor (I use the VA as a 100% disabled Vet) put me on Cephalexin 500/mg x3 daily for a week. I finished the meds expecting a miracle only to be disappointed. Seems I have had this "issue" forever and up until diagnosis did not realize how it has really affected me and doing things going places... I feel handcuffed to my man-cave (toilet). I use the creams, wipes and ointments. I sit in my custom sitz-bath apparatus daily. I eat the fiber, have cut down on sugar and meat. There are days when I feel great with little problems (south of the Mendoza line) and think I am on the rebound. Only to have a relapse the next day where I have a normal (soft) BM feeling like I have voided all. Then a few minutes later I feel I need to go back and back and back (handcuffed). Sometimes as hard as I try not to push, my body tells me otherwise. It's almost like an uncontrollable dry-heave but from the other end.

I have a message in to my Primary and I hope to hear back tomorrow. In the meantime, am I the only one with these symptoms??
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Re: Healing or not...

Postby patience_and_healing » 11 May 2019, 23:02

Welcome to the forum, and sorry you're suffering with this. Fissures can cause the surrounding muscles to go into spasm which makes it hard to have a complete BM. I suggest you see a colorectal specialist because primary care doctors are usually uninformed about how to treat this. Antibiotics are probably totally useless, unless you have an infected fissure, and the potential diarrhea won't help matters.
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: Healing or not...

Postby Bru55 » 19 May 2019, 22:10

Thanks for the feedback. I now have an appointment with a Colorectal Dr. but sadly not for another couple weeks. I feel like I’m in purgatory, I ask myself the same question about 15 times a day “is this gas or a BM?”. In the end I err on the side of caution and head to the cave. As much as I try to limit time sitting and or pushing but by default I’m doing way to much of both. After an “episode” I find myself laying on the bed, on my side because all that sitting is causing an excruciating amount of pain. Anyway, sorry to pee on folks Cheerios. Any sage words of wisdom or encouragement sent my way would be greatly appreciated.
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Re: Healing or not...

Postby patience_and_healing » 19 May 2019, 23:33

Try using a squatty potty if your physical condition allows you to do that. It can help a lot with having a BM without straining as much. Even a simple foot stool can help, just make it's not too high so your body doesn't tilt backwards.
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: Healing or not...

Postby Abu » 20 May 2019, 01:38

Hey Bru, please start taking some softeners asap. You need to keep those stools soft to give the fissure a chance to heal. Also, contrary to popular beliefs, I am a strong believer of low fiber to address fissures. This doesn't mean to cut down on veggies or fruits, but grains. Ditch grains and legumes for a while and see how it goes. Good luck and keep posting your progress.
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Re: Healing or not...

Postby Pherianne » 20 May 2019, 14:38

Hi Bru,

I’ve been suffering nearly a year. Definitely get stool softeners. Cut back on fiber and avoid foods that make you gassy. I also personally avoid spicy food and pretty much anything that’s going to make my poo very acidic.

Before a BM give your self a generous layer of Vaseline down there on the outside and on the inside very gently if you’re able.

2 litres of water day ( 8 glasses of water) As stool softeners work by pulling moisture from your body into your stool. So you need to keep yourself well hydrated.

A salt bath after you go will help clean and sooth you. No soap in that area . You can use regular table salt. If you’re us based - Epsom salts is good.

Get yourself a heating pad and rest on that after in some loose fitting clothes.

Tylenol and Advil / paracetamol and ibuprofen along with your prescription pain killers.

I apply more Vaseline after I bathe if there is a risk I’ll need to go again.
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Re: Healing or not...

Postby Bru55 » 10 Jun 2019, 18:51

Hey gang, I am 5 days post-op from the surgery. I had 2-Fistula's worked on and 1 big ol Fissure. All 3 received much needed attention. The Fissure was biopsied and now waiting for results. Next, I'm am getting more and more frustrated. Is there a window of frame I can actually expect to see this damn leakage to start winding down? Now since surgery I have just been exhausted and thirsty. I get to breathing the whole shooting match. hard I have a a follow-up on Thursday I will see what Doc-Davis has to say. I'm a bit concerned as I heard the Doc mention to a nurse that my White Cells were elevated.

One thing, I told the Doc that if he can't give me something for these gut wrenching cramps I don't want to go home. Prior to leaving the Hospital he wrote me a script for Bentyl "Dicyclomine" and man-o-man that worked sooooo good. Anyone have special words about this exhaustion?
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Re: Healing or not...

Postby owmybum » 11 Jun 2019, 13:21

Hi Bru55

I remember being wiped out for well over a week after any surgery I’ve had, so don’t try and push yourself, just rest as much as you can. The leakage is normal but best to speak with the doc if you have any concerns.
Keep drinking plenty if you’re feeling thirsty, it might be the stool softener side effect.

Good luck on Thursday, update when you can

Xxx
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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