by Luka » 25 Jun 2013, 23:36
cuzzy - Definitely find another specialist. Someone who is professional, respectful, and won't do any exams that will make your problem worse. My CRS was very gentle with me and only parted the skin to look at the area. He wouldn't do an internal exam since I was WAY too tight and in a lot of pain at the time. Doing an exam like that when you're in pain and that tight is torture. I definitely wouldn't see that specialist again, if I were you. It's always best to get a second opinion, anyway.
It is your right as a patient to refuse an exam if you think it will hurt you or make you worse. No respectable CRS will do an exam like that if you have an active fissure and are in pain. Most fissures can be diagnosed without a scope, from what I've read (I know the beginning of mine can be seen just by parting the anal tissue, but my CRS couldn't see it because I was so tight and nervous at the time), and for those that are more internal, you can get an exam under anesthesia.
For the Botox, most people get it under general anesthesia, from what I've heard, but some just get the local. For myself, there's NO way I'd do it without being completely out. I'd have a total panic attack! But that's just me because I'm a total wuss with many anxiety issues.
January 2013 - Diagnosed with fissure. Eventually turned chronic.
History of IBS and anxiety disorder, along with fear of using bathrooms other than my own caused it.
Tried Diltiazem, but eventually developed a rash.
LIS surgery scheduled August 26th.