Seeing the fissure

Are you having, or have you had a Lateral Internal Sphincterotomy (LIS)? Please share your experiences here, or ask any questions.

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Seeing the fissure

Postby chachacha » 18 Dec 2014, 00:12

I have been reading that people on the forum report their CSR's looking at the fissure (both pre and post surgery), but my CSR could only "feel" it. He had to do a digital rectal exam, and told me that it is inside the anal opening, and not visible from the outside at all. Are most fissures able to be seen by both the poor sufferers and the CSR's?

This also makes me wonder how to keep it clean, when it's inside and not able to be washed?

Am I the only one with a fissure on the inside?
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Seeing the fissure

Postby msimon » 18 Dec 2014, 02:13

It is common to have them not visible. That is often why an EAU (exam under anesthesia) is required.
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
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Re: Seeing the fissure

Postby chachacha » 18 Dec 2014, 13:07

Thank you for the response and very helpful information!
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
chachacha
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Re: Seeing the fissure

Postby zippitydoodah » 18 Dec 2014, 15:38

Mine was visible externally to the doctors but I'm not able to see it myself. (Maybe if I didn't have the skin tags - but maybe not even then.) Crazy how such a small little wound can shoot pain through your whole body!

Thanks for the info, msimon. I didn't know that, either!
-Fissure since August 2014 after diarrhea and antibiotics
-Using diltiazem, baths, ibuprofen, magnesium, high fiber diet/supplements, probiotics, coconut oil, cleaning with water & wipes only
-LIS & skin tag removal scheduled for late January 2015
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Re: Seeing the fissure

Postby msimon » 18 Dec 2014, 16:41

to see mine the skin has to be pryed. sometimes they are just inside the opening. I have heard they only go up to the dentate line (that's about 1 cm in). some Docs are quite good at doing this and others just make the injury worse, like the one I just saw. Grrrrrrrr!
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
msimon
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Posts: 1343
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Joined: 08 Aug 2014, 19:38
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