Hi there,
i got a fissure in 2011.
My CRS never saw the fissure but guessed i had a hidden one and gave me creams, etc. ... those gave me headaches.
I tried Botox but it didn't work. After one time, she said if it didn't work, it wouldn't work.
The fissure eventually got less painful but never fully did the pain go away. Eventually the CRS referred me for pelvic floor dysfunction. No one on my insurance but private sessions were $250 or more an hour so I never went. Things settled down after a long time, "pretty well", though not so that i was perfectly pain free sitting for long periods of time.
Anyway, i went on vacation recently for the first time since then and with the plane and hotel room i had a hard dry bowel movement and excruciating pain. I went to see a CRS in the vacation city who said he couldn't see a fissure and that i must have proctitis. Date of this new problem is April 3, 2014
Well, all my symptoms are much more of a fissure than that so i discontinued the cortisone. No bleeding at all.
Now i get this burning pain after a bm that can last for hours. Ice usually feels better than heat though i am "training" myself to tolerate the heat if possible, i think it's better for me. Sometimes though it inflames things. Sitz baths help at least for a bit.
Anyway: I am scared to see a CRS. I don't want another exam. Afraid of a re-tear. I can't take the creams - they give me headaches. Maybe Botox? if i did it more than once? I'd have to see a different CRS of course.
I am just not sure what to do. Or even if i have a fissure or Levator Ani Syndrome.
At what point does one revisit a CRS for this type of thing? It feels like i went so many times the first time around.
i don't think i want surgery but i can't imagine going on living like this. I have located a pelvic floor specialist (i think) near me and did get a referral from my GP so that's good.
thanks in advance.