So after 9 long months 2 rounds of Botox 3 skin tags removed I am thinking it may be time for LIS...
I went to my CRS yesterday as I have had alot of pain and my doctor thinks there is an infection in the wounds from the removal of the skin tag... He has a look and tells me I'm not surprised this happened the wound seems to have joined the fissure and I now have a large hole. Well if he's not surprised why the he'll did he not share this with me before removing my tags??? I was knocked back down also as last I saw him he tells me the fissure was healing but now it's back I knew it as I have started to feel the spasm and ache again :(.
So he puts me on Flagyl (anyone who knows about this advice is greatly appreciated) and tells me to come back in 6 weeks!
I told him enough is enough mate how would you like to be in pain everyday for 9 months? Blank look on his face obviously not understanding what it's like!
I beleive he is putting off the inevitable Botox has not worked clearly so let's go the next step.. I have about 4 weeks left untill the botox wears off so I will take the Flagyl and go back in 4 weeks where I think it will be time for LIS...
That's my rant for the day knew the people here can relate as I seem to be getting blank looks from most people!
Thanks for listening

Flagyl is used for a lot of things, but in our context it's for superficial abscesses, or sometimes recurrent abscesses in Crohn's disease or ulcerative colitis. Taking it makes sense since you have an infection in the anal area and the bacteria there are mostly anaerobic, which Flagyl is active against. I've taken it before and it had some nasty side effects for me, but that's pretty much par for the course when it comes to antibiotics, of course. (Interesting factoid about Flagyl: it's one of the few commonly used antibiotics that can cross the blood-brain barrier and is thus often used when treating CNS infections.)
Anyway did the doc use the words "fistula" or "abscess" at any point? And do you have any noticeable pus drainage from the area?
The reason I ask is that if the wound has joined with the fissure, that makes me wonder if it could lead to a fistula (an abnormal tunnel between two parts of the body). I don't know what the area in question looks like (obviously) but a large hole that was formed from a wound joining the fissure doesn't sound normal to me. It doesn't sound like it's necessarily a really serious issue in the immediate term, either, but it's definitely something you want to monitor to make sure it doesn't get worse. Is it possible to squat and look into a little cosmetic mirror to visualize the area yourself? That's what I did after LIS (thanks to member Fissulyna for the tip!). If so, maybe do that and just keep notes on any changes in appearance. Flagyl may kill off any bacteria responsible for a superficial infection, but it won't do anything for actual structural issues, hence my line of questioning...

Thanks for the info on the Flagyl! I don't normally get side effects from antibiotics do hopefully im ok on them...
No he did not use any of those words that's what I was worried about! He also said not much infection in there but then put me on Flagyl so confused the hell outta me...
There is a discharge when I blot that's like a thick off white colour it doesnt smell so not sure what that is...
I have tried to have a look but cannot really see much except a red hole I may have another look tonight and give the squat mirror thing a try...
I agree the way he put it did not sound normal at all, but he wasn't real worried about fixing it so hopefully not to bad just yet. I like the idea of keeping notes on changes keeps my mind at ease also as these doctors just seem to be so blah about the whole issue!
Thanks for the advice and info muchly appreciated :)

Daisy1026 wrote:Thanks for the info on the Flagyl! I don't normally get side effects from antibiotics do hopefully im ok on them...

I'm jealous!

Daisy1026 wrote:No he did not use any of those words that's what I was worried about! He also said not much infection in there but then put me on Flagyl so confused the hell outta me...
There is a discharge when I blot that's like a thick off white colour it doesnt smell so not sure what that is...

Hrm how long ago was your skin tag removal? Was it 9 months ago or more recent? In other words, would it be normal to still have post-surgical drainage from your skin tag removal? If it's been too long for that to be likely, then it's possible that it's pus. When I had an abscess, I had kind of liquidy diluted pus, not the super thick oozing kind.

Daisy1026 wrote:I have tried to have a look but cannot really see much except a red hole I may have another look tonight and give the squat mirror thing a try...
I agree the way he put it did not sound normal at all, but he wasn't real worried about fixing it so hopefully not to bad just yet. I like the idea of keeping notes on changes keeps my mind at ease also as these doctors just seem to be so blah about the whole issue!
Thanks for the advice and info muchly appreciated :)

I definitely found squatting and looking in a little mirror to be very helpful in assessing ass condition (try saying that 3x fast!) after I had surgery. That's a large part of why I caught my abscess early ... because I spent hours gazing into that little mirror and could tell as soon as that suspicious little red bump took a turn for the worse :)
Maybe try dabbing (not wiping) the area gently with tissue every few hours to see if anything shows up? If it's been a while since your skin tag cutting and you suddenly get constant discharge that would probably be an infection.

It has been nine weeks since I had the tags removed and I had a bit of drainage for a few weeks then nothing.. Then about 3 weeks ago I noticed when I dab the area I get the thick stuff on the TP.. I think it's definately an infection as the pain was different and my first round of antibiotics cleared up the pain from where I had another skin tag removed... That seems to have healed up it's just the one that's under my fissure thats the nasty one! Something is definately not right so I'll do the mirror thing and see if any changes happen and demand that my CRS sees me earlier. If only he was as caring as my doctor she's always so worried but unfortunately doesn't have the knowledge of what's happening down there to help out!!
Haha I did try and say it three times fast no chance :)

Hey Daisy! I'm so sorry you're suffering like this. Butt issues take so much out of us and they take so long to get better!
NG is an excellent source of information on meds ... and many other fissure-related issues, for that matter, so I think you already got the best advice there. I'll just add, from my own experience, that I developed an abscess about one month post-LIS and definitely passed that lovely thick white pus initially. The doc initially put me on Cipro, but antibiotics can't heal abscesses, they have to be properly drained and the sooner the better. My "abscess" turned out to be a small fistula, caused by the LIS incision healing the wrong way - apparently that can happen with butt surgery. I don't want to freak you out. In my case, this is a pretty simple problem to fix. All I'm saying here is that I would definitely get your infection investigated and treated with more than just antibiotics. So I actually think you should demand to see your CRS regardless of what you see in the mirror. IMO it's better to be safe!
I hope everything turns out to be alright. :D

Thanks Hope and yes agreed they take nearly everything I've got to fight it!
I did see him on Tuesday and he had a good look and didn't say anything about an abcess or fistula and I am hoping he would if one had developed... I know the pain differences by now so if it changes I will definately be going back before six weeks is up!!
I am sorry to hear you developed a fistula it's such a long road to healing isn't it.. I wish u all the best for your surgery and getting you further down this road of healing :D

It's good news that the doc didn't mention an abscess or fistula - I think that means he didn't see either. I don't want to scare you, but the surgeon who examined me at the hospital said he didn't notice an abscess or anything, and then the dern thing drained when I got home! I knew I had something because I can feel my own body - it's harder for doctors to detect these things sometimes. I'm definitely not saying you have a problem, I'm just saying that you should trust your instincts regardless of what doctors say, and don't be shy about getting treatment when you think something is wrong. It sounds like you are being very conscientious about monitoring the situation, so I'm sure you'll heal quite nicely!
Thanks for you good wishes - this has been quite a mess, but I'm focused on getting healed very soon. :D

Thanks Hope and no don't worry nothing scares me anymore with this mess just trying to take it in my stride...
Well good news and bad news had an MRI done yesterday as I was admitted into hospitalnon the weekend in severe pain my partner had enough and called the ambo's to take me in. So I basically demanded that enough was enough and had to stop! So they did an MRI and all cane up clear for fistula's and any other nasties...
I saw my CRS in the arvo and told him I had had enough let's do the surgery! He seems to think that I may have crohns disease as I have other symptoms that suggest it and my fissure had always been a bit off to him. All of my tests have come up clearfir Crohns but he has sent me to another specialist just to be sure as if it is Crohns he will not to the surgery :-( I was so close had the admittance papers out and all... So I am hoping to god it is not crohns as I will be able to go the surgery in three weeks and hopefully heal this bugger! If it is crohns whole different ballgame but at least I will be getting a diagnosis and treatment..
The thing that got me really wired is he told me if I had been a man when I first went to see him nine months ago he would have said let's not mess around and do the surgery.... Because I am a women there is a higher chance of incontinence if I have a child by vaginal delivery.... I could have smacked him I could have had this all healed up by now if he shared that info with me....
Grrrrr just another bump in the road to healing i guess!
Hope seedling well after your surgery and am further along the path to healing :-)