hi nancy,
i hope you find some peace with all this. what may seem impossible, sometimes has a way of becoming possible - such as your stress level.
i can't imagine having to deal with your children, husband, work, your regular stuff all on top of having to deal with this nagging and very crippling (mentally, emotionally, physically, socially) condition.
i guess what i am trying to get at is if you can allow/give yourself some peace during the day it will go a long way.
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i would definitely think the colonoscopy would be a great thing to get done. i have never had a manomotry. perhaps these two things would be the next logical step rather than having another LIS done - wait and see what these exams tell you.
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for what it is worth, i used macrobiotics and in a month's time, my LIS and fistulotomy were cancelled and i just got a colonoscopy. everything was fine.
it's been a bit over a year now and all is well.
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what helped me too was:
1. squatting over the toilet when having a BM
2. blowdrying the butt after a shower and then adding palmers cocoa butter for moisturizer and protection
3. using baby wipes - my fav is charmin's freshmates
4. avoid soap and witch hazel on your anus
good luck.