by bgd » 20 Jun 2013, 16:32
Checkup went well today, CRS said I achieved a great deal of healing. Fissure shrank to a triangle of 5x5mm. Started at 15mm 2.5 months ago, then less then 10mm a month ago. That's about 50% healing per month, not too bad. Pain during checkup was also insignificant, compared to last time.
Botox not needed anymore, CRS said. Although sometimes I feel it's still on or maybe my sphincter pressure just returned to normal.
I also had the 2mm fold in the fissure cauterized using ultrasound. Fold broke and bled during finger exam, before cauterization. CRS explained that it probably breaks a little at every BM as sphincter extends, so cauterization is a must. Feel no pain right now, remains to be seen on the next BM. Last time I had cauterization done it turned really bad about 5 days later, but back then I had a large area cauterized, 1.5cm in length. So I'm optimistic it can't be that bad this time.
So it seems the last episodes of pain were due to the hems after all. CRS wants to start banding on the next appointment 2 weeks from now. Unfortunately I'm afraid it'll be just another source of pain and soreness, thus stimulating spasm and fissure pain also. I wonder if I should wait with that for a while. It just seems a lot, especially shortly after cauterization, which may take more than 2 weeks to heal.