by Hazey123 » 03 Jun 2023, 06:39
Hi Kamard2300
I feel for you suffering with this so young. It’s really tough and no one understands how you feel except fellow sufferers. So my CRS recommended dilation for two reasons: firstly the act of inserting a dilator stimulates the area, a form of massage and increases blood flow which promotes healing. I questioned him on this as inserting a dilator into an already sore area seems crazy! But he assures me it really helps in the healing process. Secondly it aids relaxation of the pelvic area which is my and most probably a lot of our issue. The intense tightness and strength of those internal muscles hinders our healing. So while I dilate he wants me to breathe and meditate concentrating on relaxing those internal muscles as I do it. He supplied me with a small dilator (I’m sure you can buy online) I can measure it for you if helpful? I use loads of KY jelly water based lube and go very very slowly with it. Breathing and relaxing as much as I can while it goes in. At first I thought I would never ever get it in but I did - it should not hurt so stop if you feel pain. Some people here use their finger altho my dilator is way longer and since my muscular issue is way up high internally it makes sense to use the dilator. Once you get it past the initial anal muscle it slips in quite easily. It’s the first part that is tricky and takes patience. I might start a thread on dilation techniques that have worked for people. It would be good to share tips. I still don’t know if it will work for me but he’s a very sensible and caring doctor and he says it will help. So I gotta believe!! So far I’m better than I’ve been in 18 months altho far from being normal. I use Vaseline prior to every BM and take Movicol/miralax to keep everything really soft. Have you seen a CRS? Sounds like you need one I am in my third. First one did the damage during surgery and then dismissed my pain. Second diagnosed fissure but keen to Botox and Fissurectomy and third more holistic….
AF following skin tag surgery Feb 2022
GTN ointment
sigmoidoscopy & EUA Sept 2022 no fissure found
2nd opinion Jan 2023 fissure diagnosed, diltiazem - allergic
recommended Botox Fissurectomy
3rd opinion - dilation 2x per day plus GTN ….