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I have read many posts on here about everyone's struggle with the curse that is an anal fissure. This is my first time posting but I thought I should because I have never read another person with a situation quite like mine... which is peculiar to say the least.
A little background... I am a 27 yr old female, active and healthy, located in the U.S. Last winter I had quite a traumatic health scare that resulted in severe anxiety and stress which I attribute to the partial cause of my first, now chronic, fissure. My fissure resulted from over-exertion passing an abnormally large BM. Immediate blood and pain which stayed pretty constant for several weeks until I first sought the advice of a CRS. BTW this was all over Christmas holiday so I didn't see the CRS until about 5 weeks after the fissure happened. I would absolutely DREAD going to the bathroom, however I did not experience excruiating spasms like most seem to do. I also went straight to the CRS bypassing my GP. I was obviously diagnosed with a fissure and put on Nifedipine Ointment. This was in January of this year (2017). After 5 months of using this therapy I still have the fissure but I am in practically no pain either when having a BM and have not bled in 6+ weeks. I actually really didn't bleed that much after the 1st month of this ordeal, besides slight pinkish streak on toilet paper ocassionally. To be honest, I don't really think about the fissure desite the occasional PTSD (as I call it) when I got to the bathroom sometimes. I basically do everything I did pre-fissure but, to be completely honest, sometimes I look at that area and can still see the fissure inside the canal.
Well, I had an appointment with my CRS this morning and she said the fissure is still quite deep and the granualtion (healing tissue) is not good healing tissue. Right now my CRS has suggested Botox and Debridement of the fissure, which means they will slightly "clean" out the fissure and inject the Botox to relax the scphincter muscle. She actually prefers NOT to do the Botox because she feels LIS is a much better procedure in terms of low reoccurence, but she refuses to do the LIS on me because I am asymptomatic (I have no pain and no bleeding).
Has anyone in the world experienced a chronic fissure that does not hurt??? I obviosuly don't want to have a wound in my butt anymore but at the same time I am deathly afraid to have surgery due to the idea of the pain returning.
Also, just for relevance in order to get to the pain-free state I am in today I religiously take Citrucel (regularity/fiber powder) morning and night and by nature I eat really healthy.... no meat, only fish and tons of veggies and fruits.
I guess I am just at a loss on what to do because my lifestyle is clearly not the problem: I am healthy, active and have very regular/soft BMS. It makes me think there is some underlying health issue with me causing the lack of healing? Again, I do not get bad spasms either.
Any and all advice helps!
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