Hello,
So glad to find this forum, just wish I had found it in my earlier web searching. Didn't come up until I actually searched "fissurectomy", which is what I am scheduled for tomorrow (along with a bonus colonoscopy!).

My problem started about 10 months ago, 1 year after undergoing gastric sleeve surgery. I suspected poor water intake as the main culprit, but it seemed to heal ok after CRS put me on Nitro cream and said to increase my fiber.

However 2 months later my sleeve surgeon put me on phentermine to help my weight loss progress. The phentermine had extreme drying effects (awful cotton mouth--worked to suppress appetite just cuz my mouth was fuzzy all the time!), and I also had a bout of diarhhea, and lo and behold, the fissure returned (same place).

I have been treating it for the last 7-8 months with Nitro, colace (1/day), and FiberOne supplements (2/day). It seemed somewhat under control, flaring up maybe once a week. Never really able to get good control of my BMs--sometimes watery, sometimes normal, rarely hard. Two weeks ago the knife pain became daily, nearly constant, and started affecting my work attendance, so I reluctantly decided to proceed with surgery. I was reassured when my trusted sleeve surgeon said he thought highly of my CRS and was supportive of doing the surgery.

I searched the forum for "sleeve" and "gastric" surgery to no avail, hoping to find people who have that additional issue, which limits what I can eat, and also what kind of meds and laxatives I can take. Hoping to find other people on here that are in the same boat. If you are post-bariatric surgery, can you tell me your experience, especially if you are post-op?

Thanks for the great info and encouragement I have already seen in perusing the posts!

Side note: I saw a dermatologist for an unrelated problem, and mentioned the fissure and she said she also treated them and offered to took a look. Was having horrible pain that day, and she said "it doesn't look bad" and suggested steroid cream and avoiding wet tissue for wiping/blotting. Saw my CRS a little later in the day and he said the steroid cream was completely contraindicated!