by bgd » 22 Jun 2013, 18:52
I seem to answer yes to all such questions lately. Someone asked the other day if anyone had fissure going far inside. Lucky me, good that I don't have a fistula also.
So yes, I have both and it's a bad combination indeed. They stimulate the pain to each other, medications also work against each other.
However, since fissure is such a long shot, you have to treat hems first (only if thrombosed), since resolving a thrombose is much quicker. I just had this a few days ago and it went away with medication, check out my diary.
On the other hand, if the hems are not painful, they should be removed after the fissure has healed, for obvious reasons.
Funny, I also asked for external hem removal, but my CRS advised that it's a bad idea when you have internal hems too. Seems to be your case too. I didn't quite get what he explained, but it was something like you have to remove the internal ones first. Removing the external ones first will cause the internal ones to swell and come out.
So what worked for me was to continue fissure treatment normally and take hem pills. That resolved the hem swelling/thrombose.