Hi, as most newbies on the board - i'm a long time lurker. Had a fissure since July 2012 and reading this board has given me way more information than my doctor ever did. I'm a 36 year old male.
A (hopefully!) brief summary of my situation!!!
Reported the problem back in Aug '12 with a mild pain whilst going to the toilet and was told I had an anal fissure and given the GTN cream and told to use that for 8 weeks. That didn't help and the pain was getting worse. Was moved onto Diltiazem (sp?) and shortly afterwards had intense pain which lasted for about 12 hours. This happened before I came off the GTN but after I saw the doctor, and looking back I imagine the pain was the fissure re-tearing and maybe even as a result of the doctors examination. Not sure sticking a finger in there is really the best thing to do.... anyway....
From that point I tried the Diltiazam cream for 2 x 8 weeks and the pain was getting unbearable. I'm self employed and was juggling my work around whether or not I needed to use the toilet that day because I knew if I went then i'd be having my usual 8 hours of spasming pain.
When this didn't work I was referred on for surgery and met with my surgeon in Dec '12 and I was distressed about the whole situation. He briefly examined me and said his best course of action was to actually examine me under anasthetic and perform the LIS procedure if it was required. He talked to me about the fissures etc and luckily i'd been reading about LIS on this board so knew what was involved, but he then talked to me about laxatives. My doctor has prescribed some but the surgeon said that they were not good enough and put me on Movicol.
Within about 4 days of taking that my pain became manageable. I don't even want to ponder too much on how much time i'd spent in pain when I could have been on better laxatives....
So, I had LIS in Feb '13 and all seemed to go fine, turns out I have 2 fissures and very deep ones. Spent a few weeks in bed and took laxatives again for 3/4 weeks (I came OFF laxatives pre op as I wanted to see if the fissures were still there...... ). By the time my 6 week post op check up came by then I was already bleeding again and the pain was ramping back up. The surgeon said he would have to perform the surgery again and cut more aggressively - he said he tends to try and cut as little as possible to lower the chance of incontinance. We agreed to wait a few months to see if it healed.
It didn't.
Had the 2nd LIS procedure at the beginning of August '13 and took 5 weeks off work. Again all seemed fine, 2 fissures as before and so far everything seems better than before. This time around I did not come off the laxatives and I'm staying on them until I know everything is sorted.
Had my post op check up today and pretty much the same as last time, as its not healed yet we're giving it 3 months and then a further check up - but it sounds like there's pretty much no plan b.
Sorry - that wasn't that brief!
I'm obviously a little concerned, and here's the worrying thing. Post op I only have the 6 week checkup with my surgeon, no kind of progress report etc - which I guess is fine (i'm going NHS in the UK) - but my surgeon always refuses to actually examine me and just asks me how it is feeling, the first time i thought it was quirky but now i'm concerned that I've had 2 procedures and the only time he looks at my bum is when he's about to cut into it! I have no idea if its healed in anyway.
I am fairly pain free when I go to the toilet and most of the time I can sit down, but sometimes it still hurts to sit down and drive. Plus when I cleaned myself post toilet last night there were a few spots of blood on the tissue.
My girlfriend is suggesting I get a second opinion and i'm starting to think she's right, but is that going to actually change anything? In my opinion its clearly still there! Does my surgeons aversion to my bum sound odd to anyone else?
Also my girlfriend has always thought that the main problem with my fissure is that i'm a very stressed person, not helped by self employment and we're currently living in a house which we are renovating. I really do think she has a point and have been wondering if the house was finished and I took some time off then maybe things would heal a bit quicker...? Has anyone ever had any experience with the mental side of fissures?
PS. Nice new forum - had to double check i'd come to the right place!