Hey buddies- Fissy is back !!!
Thanks BG -you are a sweetheart :sprinkleheart: - I will definitely check him on the net - I am just so exhausted of it all .
There is really nothing to report - he examined me externally and said that what I said about tag healing in 2 separate parts is absolutely true , but that white thing that I see is not a muscle but the lowest layer of a skin (if looked at it dissected vertically ) it would be subcutaneous layer and it will grow new skin from down up and fill up the gap and I need to be patient since it is only 10 days since it was cut. He said that tag was indeed unusual in form and that he payed extra attention to the way he cut it. He decided not to put suture since it would most definitely cause infection in my case and that it needed to stay open and drain continually. Also, he said that since I am so tight, the suture would brake and make more damage and this way gap makes place for new extra place to form for sphincter to stretch . When he explains everything is such a detail and with logic and shows that he gave a lot of thought about how to do it , it makes me "deflate". I came there like a "puffer fish" and than just pfffffffft out and could not scream at him . He said that he will not go inside until 2 more weeks pass, since it would be very painful and that he is sure that pain originates from the edge of that idiotic tag on the place where skin becomes mucosa and that is place that heals the last since cells there are highly specialized. They are neither skin - nor mucosa . Since tag is on the exact place of my former fissure stretching it send exactly same nerve signals of fissure pain.
He also said that in 2 weeks when he goes in and IF he finds a fissure that is not healed it could mean only 2 things - either it is infected or my sphincter is still supertonic and I would either get antibiotic or have aLIS no 3. I said that I want manometry and ultrasound and he said that he would definitely do that for me and pleaded to just give it 2 more weeks .
I asked would Botox now do any help and he said no, that it is all still somewhat swollen and hitting area with needles would just further give trauma to the area and especially part of a sphincter that was cut - since needle goes right there. Both sides of a sphincter and by a fissure itself (third place).
So, I have to bear it all for 2 more weeks and than be examined in detail when most of the thing should be completely healed according to him and of what he seas now.
I am so happy that he did not go" in" and that I do not need extra surgery immediately and that he spent about hour explaining it all. I was so scared this morning waiting on that table waiting for him that I felt like pooping and had to run to the bathroom in that paper gown !!! BUT- it was a major breakthrough for me LOL- I was able to poop in public restroom and under such pressure of embarrassment and hurry, that I am very proud of myself . It was actually almost a highlight of a day .
Oh, yes, one more thing - I am ORDERED to take metamucil !!! I said " But it makes it so bulky and painful !!!" and he said : " BUT, that is the whole idea"!!! And I was like- you must be kidding dude ???!!! He said that it is very painful but that it is natural "stretching" of a muscle - like you do dilation to yourself and that it makes sphincter "give in" eventually and is not ever than "surprised" by accidental "big" poop . It all sound so logical, but I have no idea how to do it now when all is so raw . We made a deal that I start with one tea-spoon and day and slowly make my way up.
I asked about Nitro and he said he would rather me not using it since he wants to see if I would heal naturally and not with "outside help" which can give us impression that all is fine . Again - very logical explanation . I said that it makes me feel much better and he said that than I use it but try to stop when I feel comfortable , that medicine is one thing and patients feelings separate factor that is equally important. So, I will try to ease off the cream a little, but not completely until I feel confident enough that spasms are really down to minimal level.
That would be all my dearest friends :heart7: !!!
Thanks for all of the concern and all the prayers - I am absolutely sure they made my appointment much , MUCH better than I expected
I hope all of you did have nice day today, pain free or at least almost pain free and that your hope is renewed and faith strong :sprinkleheart: :sprinkleheart: :sprinkleheart: :sprinkleheart: :sprinkleheart:

What wonderful news! I am so glad that he had a logical explanation for it all and showed such care and sympathy for you. I think you will notice a huge difference in 3 weeks. You had a lot done there and it wasn't unlike a hemorrhoidectomy in that they were removing mucosa.

And great news that you were able to poop in public. That is such a breakthrough. I am so proud of you!

How did you handle the trip? Are you in more pain than usual?

Hey my baby-Sis XOXOOOOOOOOOXXXXX!!!!!
I hate those trips - but what can I do, you know better than me how it goes - 2 hours of anticipation and than 2 hours of analyzing all that was said in your head on your way back :barkrainf: . I took one more dervocet as soon as I left the office since I took only one before so I would be able to concentrate and stay focused . That med really takes the edge of it , thanks Lord, it hurts but not to the point of crying and it is a major difference.
Yes buddy - he also said that with 7 cuts I just can not be pain free in 10 days -no way . He said that in 3 weeks I should be bale to see some improvement and also very gradually- nothing will happen overnight.
Yes, I am satisfied with his rational , just still wonder if that fissure is there or not - but 14 more days and I will know for sure - things now just can not be rushed and maybe it is good - I think that it was actually good that he did not go "in" it is all so tender - it would just make me MUCH more sore and would not change anything in the course of planed treatment . So, I have to bear and continue to hope and live in the tub LOL - what girl to do :bathtub: ???
How are you doing buddy - I can not see your report anywhere !??? I hope that test was painless and fast and gave good results !!!??? Tel me about it !!!!!

interesting to learn about hte mucosa area. that is where my main pain is coming from. I'll bet that I have some healing still to do there.

Fiss -
Oh there you are! I have been thinking about you! I am glad you got a good explanation. He does sound like he put alot of thought into your surgery. I can not tell you enough how sorry I am about your pain - but it will all be worth it when your healed.
How can a sphincter itself be infected? Did he explain that to you. It totally makes sence about the metamucil. As much as it hurts, the bum needs to be streched. Are you still in just as much pain as day one post op? I am really praying hard for you!
Remember when I told you that the was some white tissue on my LIS cut? It was mucosa - I am sure of it. At first I thought it was the sphincter though.

HI BG AND JEN !!!
BG - yes , it is very special transition area of tissue - not a skin and not real mucous membrane. You can see that area clearly on you lips - same thing LOL. Outside is a skin, and inside mucous membrane and there is very thin area that is on the inside edge that is neither of them . I am sorry to hear that you are still in some discomfort but it looks like everybody heals different way and different rate. Some people have LIS and ride horses in 2 weeks and have stake every day, some need a year and still be careful with what they eat and all . I hope you will heal completely and soon and be able to put this whole ordeal behind you forever. BTW- thank you so much again for all the support before the colonoscopy , it meant a lot buddy :sprinkleheart:
JEN - if wound can not drain properly and feces gets in below the suture it can be great breeding ground for bacteria :( . Our poor Lecia had infection on suture site as well as "Bumm Issues" and some others. Same way as fissure can become infected if it closes on the surface but not below - than it becomes abscess and when tries to drain forms a canal called fistula.
Thanks buddy for asking :truebud:- hope you are doing great and off meds : ))) !!! Yes, my pain is less than first week , but I still can not believe the difference between the first and second surgery. I mean, yes , this was "Benehana" stile procedure LOL, but still I pray to God this will all calm down - I have to hold on his words and reassurance that I am healing fine :pray:Same as your CRS , he is all excited about success of his work and healing progress while I look at him
and wonder if either I am crazy or he is LOL !

im so releived to know everything.i was wondering and hoping u will be fine.7 cuts will definetely take time to heal.
its best to have an ultrasound and manometry which i think u shud have had long back before LIS.U were able to poop in a public restroom .i dread it all the time and avoid going out much.u will be fine.heal soon

Finland???? I live in Norway girl - big difference

Fissulyna wrote:CORSI - LOL, I told my doctor about you and that you had that exactly done and she said to me - " Than go to Finland " !!! "Don't let "big names " sway you, find who knows what they are doing and go there " ! How I wish it is not about 11 hours of flying away : ((((.... Can you PLEASE send me names of your doctor and that other doctor that he consulted by PM

I will give you the name of my doctor if I have to, but I promised him that I wouldn't use his name on the internet...is it realistic that you would come here??
I see you asked about Botox, and I have to say - you don't want those long Botox needles there now - it was painful
I am so happy that he took time and explained what he had done, why, etc. It helps to understand thing. You just have to be patient and endure pain Fissy, but I know you will - you are a strong woman
:truebud: Corsica

:D Fissy, thats great news about pooping in a public restroom

At least he sounds as if he knows what he is talking about - and your first instinct was to like and trust him, so he's probably right. And he actually explained things properly to you! My CRS told me the same after my surgery - to just eat normally so it would stretch- i thought he was crazy too!
You've just had major surgery in the most painful place anyone can have surgery so 10 days isnt really a lot. if he is pleased with the rate you are healing and has a realistic view of another 2 weeks of healing before its better, he sounds like he knows what he's talking about.
I'm glad that you had a positive outcome and he's maybe not just a butcher who ballsed the operation up and i'm glad he didn't have to do anything to hurt you - you've been through so much.

I hope your pain is less and less each day and everything heals up very soon! :heart7: :thinkofyou:

Dear Fissy,
Sorry I've been absent, I was out of town for a funeral of a dear 41 year old friend, he had heart valve replacement and made it through surgery but later went into "code blue" and never recovered. :( Very sad.
Was trying to catch up with some posts and read your post from yesterday. I am happy that it sounds like your dr knows exactly what he is doing. Your wounds sound so similar to mine. They were healing on the edge and the middled just looked like it would never heal . No skin, just very thin mucous, it bleed so easily. Also very tender and painful. Fortunately they DO HEAL~
I also had spots which turned into "fissures". Unhealed wounds and fissures!! Sorry
Fiss, I know it is going slow but you are on your way to healing. :truebud: Hang in there!!!
I was always so scared of not taking my metamucil because what I had read of anal stenosis ! Definitely want to build up on the fiber,...slowly...not all at once.
I am so glad you got "good" answers and you were able to go potty in public!! It sounds like a breakthrough. Keep taking those darvocets !!
I've been thinking of you and am still praying for you.
Hope you are recovered from your long trip yesterday.
Take care,
:redlove:
Jo
:sprinkleheart: