by matrix011 » 02 Sep 2014, 19:51
msimon,
Thanks for your post
The only prescription the doctor gave me after the spinctorotomy operation was a tube of compounded medication that reads "Diltiazem 2%, Bethanechol 0.1% PLO Gel". So to answer your question, I have not yet tried Nifedipine, Nitroglycerine. I have only tried Diltiazem. I went through 2 tubes of the compound medication gel and the fissure was in check for the first year after the operation. However, it's now 3 years later and it's come back with a vengeance. From what I have noticed the fissure is in a viscous cycle of healing and retearing. for the past two years. Due to no insurance I have not seen my doctor in these last two years and therefore have been without prescription medication. But due to the strong discomfort I'm paying him out of my own pocket to see if I could get stronger medication because this fissure stings like crazy when humidity is high down there. It makes one want to scratch the hell out of it.
As long is this fissure exists I don't think I'm fully healed. In short, I honestly think the spinctorotomy operation as 50% successful . To answer your question it's a posterior fissure located at 12 O'clock right before the anal entry point . I don't think I have pelvic floor muscle dysfunction because I seem to be have complete bowel evacuation. However, I do have days where I have some constipation.
My personal opinion is the sedentary lifestyle I have is what is preventing the fissure from healing. I'm forced to sit down all day at work. I'm sure this doesn't help.
I will be seeing my doctor soon. I plan to ask him about Botox, Nifedipine, Nitroglycerine and Flap Surgery.