Anal Fissure Support Forum

[UKMan]

I had LIS and skin tag removal 5 months ago.
First few weels were fantastic. Then suddenly i got complications.
It got to the stage where i was getting what felt like inflamation in my bacl passage every other week. In addition to this my sphincter would tighten up just before a bowel movement. The inflamation gets very bad and is eased only by a syringe of instillagel once or twice a week.
I improved things a bit by sitz baths after a BM also saline solution after a BM and then a shower. Sanitising my sitz bath after each use also helped and i didnt have inflamation for 2 weeks. Now its back.
Sitting has consistantly caused issues for the lads 4 years and despite LIS it still does. I have been referred to pelvic floor physio but any suggestions and observations would be welcome. Emotionally this has took its toll.

[Rich44]

You literally have to re-learn how to mentally have a BM post LIS. The stress and tension mentally from having endured the fissure for so long complicates having a BM in many ways. My suggestion is relax, relax, relax. Calm your mind. Eventually things should normalize. Other than that, I don't know what to tell you. LIS should fix everything.

[UKMan]

Thankyou for the reply. Any tips on relaxation?
I take things slow and try my best to relax. Its now 4 months since the op. Im guessing tge inflammation is just caused by the stool passing through a tight sphincter.

[UKMan]

If anyone can offer some advice i would be truly grateful.
A 4 year nightmare!!

[dmcff]

Unfortunately on this forum we can't offer medical advice - we are not doctors, and this is not a healthcare facility.

You need to contact your doctor, colorectal surgeon or other medical caregiver right away and tell them what you have written here in your original post.

[UKMan]

To clarify, like most users on this forum i have not asked for medical advice. I am however looking for friendly advice. As the top of this page states:
"Welcome! Discuss your experiences, share your stories and get friendly help and advice".

My consultant is aware but unfortunately here in the UK our healthcare system is broken so it may be sometime before i get help.

[Hazey123]

I do think skin tag removal is very very painful and takes a long time to recover from. I wonder if it’s this that’s causing you issues. I’ve had a lot of trouble following my surgery for this. I try to relax I think someone above said you need to relearn how to have a BM as the trauma is so great after a fissure. I do a lot of deep breathing and tell myself it won’t hurt it won’t hurt!! It helps a bit. Good luck I hope it eases. This stuff does take its toll.

[Rich44]

My theory based on personal experience (and I am not a doctor) is anything that helps you have an easier BM is a bad idea in the long run. You need to learn to naturally have a pain-free BM without help. You are doing sitz baths post BM which is perfectly fine.

The reason a fissure can take forever to heal is mental. We tighten up for fear of pain and by tightening up we restrict the blood flood needed to heal the fissure and the cycle repeats itself endlessly. Then we take medications to make it easier like a stool softeners which can make the stool too soft and you tighten up even more. The stool must be bulky for a healthy normal BM.

Sitz baths after a BM are great and I recommend them. But if you are still having problems after you have a BM all while still doing sitz baths afterwards you should see the specialist again for further discussion. After the LIS and skin tag removal you should be on easy street.