Hi 45yr male here. Have been experiencing very painful BM for a week now. I had feequent pressure to have BM but not much came out.. Went to a GI doc who diagnosed a gissure and gave hydrocortisone 2.5%. Did not help. Went to a colorectal surgeon who could not see a fissure visually and tried to do a digital exam but was very painful. He said it could be a fissure or an abscess and prescriped a nefedipine + lidocaine cream. He said if it is a fissure then the ceeam would help and if not he will have to examine me under anesthesia. The cream seems to have helped to take out the pressure (is that spasm ?) But the pain during BM is very much there. I have a few questions :
I was told that id it is fissure the cream would porvide rapid relief but i have no pain relief. Does it take longer ?
Should i get examined under GA ? My concern is that the examination with a scope itself could hurt the area so much that it might exacerbate the pain ?
Pl. Help