by Scientist2516 » 19 Jul 2014, 16:33
I agree with 'Roids and Jbl - don't do anything about your sentinel pile unless you absolutely have to. This surgery, which seems so simple, has caused some people a lot of pain and complications.
It doesn't seem as though there's a reason to have it removed. It's a sign you once had a fissure, and not that your fissure is active or chronic now. Also, suppose your fissure is chronic and active - you don't heal it by removing the pile!
I have a sentinel pile. Probably most of us with healed fissures have one. It doesn't bother me except now and again, a little bit.
Take Tucks to work. They are nice for cleaning your bum, and easy to carry in a small bag or purse.
Nifedipine/lidocaine, no help
Diltiazem, effective, but caused major rash
Nitroglycerine, effective.
Topical estrogen for final healing.
Gentle heat to bottom - pain relief, muscle relaxant
Kondremul mineral oil
Time - lots of time.
Status - Healed!