Hi I'm a 31 year old male who has suffered with anal fissures for about 7-8 years. I have one fissure which causes me pain everytime I go to the toilet, the problem is I also suffer from IBS too. I'm pretty sure my high stress life has played a big role in this but its all very well saying to someone to destress, its very hard. I have been reading lots of stuff about how people are in severe pain and thankfully I'm not, its just uncomfrotable and a little pain when I go. I had a bout of food posiong 2 years ago which sent my digestive system into complete spasm where I was going literally 50 times a day for a month. I've had MRIs and things to check theres nothing really wrong and there isnt, although they want to perfom a colonoscopy on me sson just to check - I dont have UC or Colitis or Crohns, I know this - its just a form of IBS I have which is set off by eating the worng things. I'm still in 2 minds whetehr or not I want a Colonoscopy, I'm scared at the thought and dont like being put to sleep.
My fissure has started to hurt more recently and I have good days and bad days, to be honest it feels more a bruised feeling in my anal passage rather than the searing pain of the fissure, but that could but linked or because I go alot and have to wipe alot ( i sue wet wipes too now).
Recently I've been to the doc and he sas my fissure has tried to heal and has subsequently turned into a fistula, which he wants to cut open and inject with botox. I thought a pile had appeared and thats why I have this brusied feeling but he said its a fistula. Its been like this for about 2 months and its not very pleasant, and I find myself alternating between creams with Hydrocortisone and things like Germmaloids, but I'm steering away from HC now.
Does anyone have any advice for me, I have IBS but its rarely diarrhea so sometimes its hard stools which cause this bruised feeling - overall I've just had enough of it. I'm lucky i live in UK and lucky I have private healthcare which will cover these proceedures but I would like to avoid having them. I have tried that Diatelz cream but that just causes me to itch unbreably thorugh the night so I wont ever be trying that again. IS there anything else I can do, I read that laxative drink is good but not sure if people with IBS or digestive complicats should use something like that.
Thanks guys sorry for the long post!