first time to see a specalist

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first time to see a specalist

Postby cuzzy » 25 Jun 2013, 12:59

ok i went to the hospital today too see a specialist he did what i think are the standard questions and then started the examination
but then he used this probe like thing with a light and i think he could see through it at aboslutly hurt like mad it was huge and i went for my first bowl movement and there is lots of blood is this normal, i kept the fissure from hardly bleeding at all thanks to someone one here telling me to use vaselene and now i dont want to go back he wanted to put me to sleep for the botox injections and i know you can have it on local i just need some advise should i change specialist thank you really worried about the blood thing
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Re: first time to see a specalist

Postby torninhell » 25 Jun 2013, 13:12

Hi Cuzzy, I think your specialist may have been a bit too aggressive. Mine didn't do much more than a visual exam after he saw how tightly clenched I was/how in pain I was. So what we did was we did an examination under anesthesia, then after he saw my problem he performed LIS while I was out.
It's really up to you whether you go back to your CRS or find a new one, because maybe the new one might try to do the same exam anyway. If they try just deny them and say try another way, then tell them what happened last time that you got the exam!
You can get the botox injections while on local, but as my doctor told me, the local is an injection in itself and you might not want that to your bum while you are awake, especially if the fissures give you pain. Also if the procedure lasts a while there is a risk that the local may wear off or not work as efficiently (some areas go numb, some areas have feeling), and then they'd have to keep topping up the local. You could always get a spinal anesthesia done, which is what they did to me. You only get numb from the pelvis down. Then they can just sedate you so you are asleep for the procedure.
I wish you luck and I cross my fingers for no more setbacks for you!
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Re: first time to see a specalist

Postby Guest » 25 Jun 2013, 18:05

Well, you will laugh at my experience....
I went to a GI without reading reviews.  Thanks to my fissure pain, I was too depressed and weak to understand or grasp anything that was posted online.  Big mistake!  The guy was a horrible horrible man !   I think by examining, he did more damage to it.  My fissure didn't heal for nearly a week.
The second time, I went to another GI.  Good person.  Didn't check much.  Just separated the cheeks and gave the verdict.  Fissures !  Gave me an ointment called Anamantle (had lidocaine as the main ingredient)  that worked for few weeks and then, back to square one when my diet went haywire.  Next was the follow-up during which, he recommended flexi-sig.  That was a relief, coz  by now I was tired of self-diagnosing myself and thus, desperately seeking for some real answers.
The third time, I went to a CRS.  Told him upright that I had a detailed flexi-sig report of what's going on down there and specifically mentioned that there is no need to examine me.  Upon hearing that, his question to me was quite frank "how else would I know what's going on down there if I don't see it?  I promise I'll be gentle".  In the back of my mind, I was thinking, how hard is it to open the report and read.  My request went unheeded.
So there you go... I think the number one reason for doctors to follow their way is to avoid legal woes.
Anyway, thanks for listening.  Now to answer your question, here's a very big YES in bold !
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Re: first time to see a specalist

Postby Just 'Pain' Tired » 25 Jun 2013, 22:51

This topic does irritate me.  I saw a GP first who did such a clumsy exam I nearly slugged her (never slugged a person in my life)--that was just the external exam.  I refused her scope exam.  Then I was terrified to ever go see anyone else.  After so much pain I caved and saw a PA at the CRS clinic (that exam wasn't too bad) and a naturopath with many years of experience (kind of painful but he at least had lots of info from it).  Two more exams (one from each provider while I was deciding which route to go).  None of them fun, but none of them close to the fear and pain of the first one.  Point being, there is a lot of difference.  The naturopath used a numbing agent, the PA who I asked directly to do so said he couldn't (why?) but he did use lots of lube and a gentle approach.  I don't have an answer, but feel that we need to be ready to refuse exams and treatments that are too stressful and insist on humane treatment or be ready to walk. My 2-cents!
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Re: first time to see a specalist

Postby 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.
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