Surgery Scheduled Thurs for Anal Fissure - Help!

Discussion in 'Fibromyalgia Main Forum' started by ephemera, Aug 24, 2003.

  1. ephemera

    ephemera New Member

    Hello. Has anyone here had experiences with anal fissure surgery? I am scheduled for cutting of the interior sphincter muscle (excuse spelling & my memory lapse on exact terminology of procedure). Has it been succesful or not? Theory is that cutting the muscle will along blood flow & healing of the fissure.

    The fissure resulted from 2 impacted colon procedures last fall. No matter what doctor I saw, no matter what I took or did nothing has helped in these last 8.5 painful months. I took analpram, nitrogylcerin creme, warm water swimming & walking, high fiber & water diet, Miralax & now Zelnorm. I've had x-rays, 0 ring tracking tests, colonoscopy, etc. No reasons have been found for this to happen, but also no reason as to why I haven't healed.

    Outrageously painful episodes have gotten worse & more frequent & last week I pulled my lower back muscles during an IBS attack. Between fibro & other problems the entire area feels like hot broken glass on the outside of the skin & inside.

    A person on another list wrote to say she'd had the surgery & now has no feeling in her rectal area. Any & all comments are welcome. I have confidence in this surgeon, but am more than open to other opinions & real life experiences. Thanks so much!

    Best thoughts to all.
  2. Shirl

    Shirl New Member

    I have not had this surgery, and know nothing about it, but am replying so that your post will be bumped up for Tomorrow.

    The board is slow on the weekends, and today is even worst, so please keep your post up so others will be able to share with you tomorrow.

    I sure wish you the best of luck, and am sending many good thoughts and blessings your way............

    Shalom, Shirl
  3. Dara

    Dara New Member

    Her surgery was in 1996 and she has had no problems since then. I know she went through a lot of pain before the surgery and finally her PCP sent her to the right specialist and she was scheduled the very next day for surgery. If I remember correctly, she had the surgery on a Thursday and was supposed to be able to return to work the following Monday. Good luck, try not to worry.

    Dara
  4. Cycie

    Cycie New Member

    Don't worry for a minute, it is a breeze.
    Several years ago I had this done, they actually stretch the anus around 6 inches and as amazing as it sounds, by the time you wake up, it will be fixed no pain or anything.
    When the PCP told me this is what would happen, I thought he has got to be kidding, as it hurt so bad to go to the toilet, but he was right, as soon as I returned from the surgery I tested the muscles in that area and all was fine, I couldn't believe it.

    So set your mind at rest, you will be fine.
    Anyway all us who live with these chronic illnesses are sooooooo couragous, we can handle anything....right..YEAH..
    Take care, Hugs Cycie from Aus down under.....
  5. duketomato

    duketomato New Member

    and I took him to the hospital and brought him home afterwards. He said he felt alot better and has had no more problems in that area. Do not do what he did afterwards. We went out for lunch because he was starving and right before we ordered he decided to show me the pictures they took of his insides.
  6. jkluver

    jkluver New Member

    Hi
    I know exactly how you have felt.I had mine done in 2000.It hurt for a day after but make sure you take sitz baths in warm water.It took a year for any body to understand the pain I had felt plus I had hemoriods removed with it.It took about 30 minutes and then I went home that afternoon.They put me to sleep. I would definelty
    ask them to because it is painful but I'm sure they will.
    Make sure you ask them if you can take stool softeners. I use fibercon laxitive pills because I take so much medicine.
    I take oxycontin for my fibro and I'll use a loritab for a breakthrough if I need it and then that constipates me so I use the stool softener with the fibrocon pills.
    You'll do just fine and good luck with your fibro with this.Hopefully it won't cause a major flare.
    Jojojem
  7. jkluver

    jkluver New Member

    Hi
    I know exactly how you have felt.I had mine done in 2000.It hurt for a day after but make sure you take sitz baths in warm water.It took a year for any body to understand the pain I had felt plus I had hemoriods removed with it.It took about 30 minutes and then I went home that afternoon.They put me to sleep. I would definelty
    ask them to because it is painful but I'm sure they will.
    Make sure you ask them if you can take stool softeners. I use fibercon laxitive pills because I take so much medicine.
    I take oxycontin for my fibro and I'll use a loritab for a breakthrough if I need it and then that constipates me so I use the stool softener with the fibrocon pills.
    You'll do just fine and good luck with your fibro with this.Hopefully it won't cause a major flare.
    Jojojem
  8. ephemera

    ephemera New Member

    Thank you all for your supportive comments.

    The surgery will be a lateral internal sphincterotomy. The doctor didn't recommend either a fissurectomy, regular sphincterotomy or an anal dilation. She is trying to avoid cutting the other muscles, fissure & area around the anus.

    As I work at home I am hopeful the Labor Day weekend will treat me kindly & allow me to be back in the garden soon!

    Very best wishes to all. If all goes well I will email you soon after the surgery. If not, then my partner may wait several days before responding.
  9. FM_DD

    FM_DD New Member

    Ephemera,

    I had the same surgery a couple of years ago after suffering for 20+ years with what I thought was hemmoroids. The surgery was outpatient and was a piece of cake. Even my first bowl movement after surgery I had NO PAIN!!! Go for it! The only side affect I've had (and its just slightly) is sometimes not being able to push like I need to.

    cj
  10. ephemera

    ephemera New Member

    Thursday's surgery went OK or as well as can be expected & I'm now back to sitting up with pillows.

    The biggest discussion between 3 doctors prior to surgery was if I could have a spinal, given my previous ruptured disc & recent muscle pull. I had the spinal & it went OK. Still threw up 2xs in recovery - which is normal for my reactions. I warned the crew, but I don't think they really believed me.

    The actual surgery took longer than expected because the fissure was " nasty" - the doctor's words. It was longer & deeper than expected.

    It took me over 12 hours in recovery to get home, but not before 2 morphine shots & 2 percosets. When trying to move I pulled the other side of my back & just screamed out. Several nurses came running & the nurse I'd been dealing with suddenly became nicer. Blood pressure did wierd fluctuations & I was bleeding some because my menstrual period which should have been the previous week was late. Figures! I don't think anybody paid attention to my hypermobility until trying to get off the gurney. Fortunately, I brought the cane I used in a previous surgery, otherwise I wouldn't have been able to get around that day & the past few days.

    Anyhow, I've had lots & lots of pain at home, most of which time was spent sleeping or laying down. I'm now beginning to feel the daily fibro shooting pains, so maybe my body is getting back to its usual normalcy.

    Today was the first day for a bowel movement. Finally, 4 metamucil cookies, 6 Zelnorms, 1 miralax, 1 spinach bowl & a whole lot of cereal got things going. The bloody stool was to be expected according to the doctor. Her worry is any swings between diarrhea & hard stools. Definitely my worry, too.

    I see her again in 3 weeks. Unfortunately no swimming in the meantime & I feel like I might wear out the tip of my cane trying to walk around for exercise. Neighbors are nice & will check in on my when my partner returns to work tomorrow.

    Best thoughts to all & thanks for your support!
  11. tinker-belle

    tinker-belle New Member

    I'm scheduled for one next week. I was wondering if you can tell me what the hospital does BEFORE the surgery? Do you get an IV? Do you have to have an enema? How long before you were able to drive again? Any info would be great--- thanks so much!
  12. KLS

    KLS New Member

    I'm astounded to read this and the responses. Not that I think there's any commonality here with the disease, but I too am scheduled for this sugery.Is it the IBS asscociated with the DD or just because muscles are involved?
  13. Dlebbole

    Dlebbole New Member

    It seems like a lot of people have muscle spasms with fibro. My surgeon told me that fissures normally heal by themselves UNLESS you have some spasming muscles surrounding the rectum, which doesn't allow the fissure to heal. My surgery solved the pain I was having with bowel movements (from the fissure), but the muscle spasming hasn't stopped. I too had a lateral sphinterotomy, but other muscles have taken up the spasming and I still have problems with it. Some terms to look up: proctalgia fugax, levator ani syndrome. A great book is called A Headache in the Pelvis. good luck, all. Diane
  14. pam_d

    pam_d New Member

    I just saw your post today (9/13)----I'm glad the procedure is over for you! Hope you are starting to feel better.

    Picture this (literally)---I had what seems like a more minor anal fissure procedure than yours done about 22 years ago at the University of Nebraska Med Ctr.----a teaching hospital.

    Oh yes, I had this done with about 20 young, good-looking male interns up close and personal with my butt. Not an older, more motherly female in the crowd, of course----just a buncha cute guys all intently staring at my derierre.

    The procedure went fine, though, and I have never had any further problem with it. Hope all the would-be doctors learned a lot from it!

    Hope you are on the road to recovery....

    Hugs,
    Pam
  15. Tunes

    Tunes New Member

    Hi ephemera,

    I've had no personal experience with that surgery.

    However, in the 1950/60's my older brother had that done.
    He was completely alright afterward, and hospital stay was notlong at all. He's never had any problems since. And that was years ago.

    Since that time, I would imagine they have this type of surgery perfected.

    Don't fret .. think of when you'll feel better. You will.

    Love and Kiss to you,
    Tunes
  16. ephemera

    ephemera New Member

    Dear Tunes,

    Thanks for your reply. So far the butt has been alright. Last Tuesday I had a normal bowel movement for the first time in 10 months. Sorry, but it was worth celebrating. (see previous posts for horror stories).

    What has been bad is that my fibro pain has really taken over. I haven't been able to go into the water therarpy pool for fear of infeciton. (I see the doc on Wed for my OK to go back to exercises.) In the 3.5 weeks since I was in the water my arms, back & legs have hurt so bad & my knees have bucked forward or hyperextended backwards 8 times. Sometimes even when sitting down or using the cane. This sudden hypermobile pain is like a knife thrust all the way through the body.

    I feel like a poster child for water therapy, but I need to get back into it.

    Again, thansks for your concern. I'll let you know what the doc says.