Just had an lateral internal sphincterotomy after suffering for over 10 years.

No way to live with a fissure.. I saw 2 docs who said the same exact thing..

It will not heal on its own if it has not after all these years..

Im looking forward to getting my life back !

Yes of course after what we went true we deserve something. The docs say it will hill with in 2-3 weeks but sometimes more months. For me personally this illness was wake up call. I am in my earlie 40es logicly I have 20-30years live on me. It reminds me that health is above everithing. The last 3 months I done quite bet with dieting walking 5-10km a day.

The worst was when it started the pain was immense. When I will go to doctors in hospital they will telling that is not emergency I need go see my Gp. And I thought it was cancer . Have 2 young children 1-4 years . Lying in bed with 12 to 14 hours of pain.pain killers didn't help. I was saying to my self it's not time to go.loon they too young left behind . That was the hardest . I know logicly 1 day we will die nothing is forever . But that wasn't time to go. This is was the lowest point . I took 2 weeks to figure out I have by then i had 2 bad constipation the fissure gone next label I had sling tag. After few weeks felt better .caz I weak up and said to my self something needs to be done. I did my research and desidet surgery is the solution.when I tald my Gp that he was surprised. I tald him to send me private. As you know NHS going true bad time. Waiting list maybe 6months. He understood and did that favour.the next thing to hill from that and move in life but always know aha you eating. To all people any has any quastins they can ask me. Because when I was at my lowest point this forumes for Anal fissure helped alote. I am kind wanting to give something back. Tanks waiting for news

what suregry you got? ₹do you feel better now ? now you face any problem ?

Hi and thank you yes it was on and off for ten years but around New Year's time I got so constipated I thought I was going to have to call an ambulance it was a really really bad night. Since that night it seemed to take a turn for the worse and be more chronic painful and going nowhere but daily pain after a BM.

Today is day 4 of my recovery since LIS surgery.

I don't want to speak too soon but right now feel like I am walking out of the woods..I feel better then pre-operation for sure.. having a BM is virtually painless.. I feel good but also know I should take it easy which I am..

Thank you for all the well wishes no regrets here and Massachusetts.😎😎😎

Did you have pain with the botox? Did it work?

i understand how you feel. im 22 years old and ive had this problem for about 1.5 years . im so miserable and i have waves of depression. I use miralax everyday and nitroglycerin everyday. Its still a very difficult bowel movement/painful. i bleed a little bit but the bleeding has gone down but the pain is very bad right now . any advice ?

Do you have a fissure, and if so, have you considered LIS surgery?

Hi, I've just had a LIS surgery a month ago. The pain was unbearable (due to the healing process of the surgery cuts) but the pain has subsided. However, I'm still experiencing pain during and after bowel movements... Lately there were some blood drips I'm so scared. I don't know but I've got a mixed feeling about my surgery. So some days post-op what I experienced is the pain of getting a surgery. For the bowel movements during that time, sure it wasn't comfortable, but I didn't notice any pain related to fissure.

Then 1 week post-op I had a constipation (like a blockage), I managed to pass a tool with dulcolax but it was terrible since I had to strained real hard (which has been my nightmare all these times) and I got lazy bowel during that time (I hv bowel movements each day though). I also got hemorrhoid (I think bc of the strain).

Then 3rd week post-op my surgery cuts have healed as well as my hemorrhoid. But since then my concern comes to the actual fissure wounds (since it's the only thing left). No constipation, no hemorrhoid, no surgery pain anymore, but my fissure seems not improving. I don't know is this bc I'm still in a process of healing? I'm afraid that the constipation I got and the straining I did has opened a new fissure and that's why I saw some blood drips during my bm? 😦 I really am afraid that after going through such a hard time of undergoing a LIS my fissure still doesn't heal? Tbh this gives me a great anxiety. 😦

It felt like reading my story. suffered for 2 years now and after being diagnosed as hemmoroids by multiple doctors in urgentcare, I finally said enough is enough and saw a colorectal surgeon. he immediately diagnosed it as chronic anal fissure. Tried nifipedine and botox but the pain was getting worse. finally got the surgery done today. doc did a fissurectomy and sphincterotomy and so far no pain 11 hrs after the surgery. hope things go well tomo.. fingers crossed!

Glad you're getting well real quick... But I'm at the same times I also envy you... I've been in my 7th week post op and the pain is still there 😂 Sometimes I've given up in live and think that perhaps this is what I should deal with everyday for the rest of my life... It's on and off when the stool is just a bit hard I'll start bleed and it'll hurt again even when I thought it was finally healed. I just had a LIS, sphincterotomy, not with fissurectomy. Sometimes I regret the surgery since my condition seems worse than before I had one. I don't know please anyone tell me I'm still in the process of healing aren't I... I don't want to lose hope but at this point I don't know anymore...

Definitely keep your stools soft. I took stool softeners and lots of fiber religiously for the first couple months after my surgery. I no longer take stool softeners, but i still make sure to get in as much fiber as possible. Don't lose hope, you'll be pain free soon!

It was so frustrating, but I hope your recovery is going well! 😃

Sounds like the constipation might have injured your incisions, but not sure if it might be another fissure. I'd definitely try to get it checked out.

Hi thanks for the kind reply. I don't know but I think u're right, I feel the pain around my incision and suspected that perhaps my constipation injured it.

I have taken a lot of fiber and water not to mention laxatives and probiotics but I still get constipated 😦 I start to suspect that I hv a hypothyroidism as well since I have some other symptoms associated with it.

Hi A,

I am waiting to be scheduled for the LIS. Doctors tried treating this for the past several months (Diltiazem, Botox, etc - no pain relief from either). I am in daily pain and anxiety and have become quite depressed (as an extremely active healthy person this has me sidelined in a big way)...So it sounds like exploration under anesthesia and then likely the LIS while they're in there. I am concerned about the recovery period after the LIS specifically - can you walk me through? Any 'control' issues afterward? And have you remained pain-free? I know your surgery was a while ago. I hope you are well. Thank you in advance - D.

Hi Antony,

My case sounds somewhat like yours...I've had excruciating pain for 15 mos, but I have had a fissurectomy, two rounds of botox, and nifepedimine. I've also tried physical therapy (post fissurectomy), and even acupuncture. My second surgeon (the first was a total train wreck), who did the fissurectomy, said my fissure was 100% healed when she gave me a second round of botox back in Feb. The reason she gave me the second round of botox was because my pain NEVER stopped, ever.

I don't know how it is for other people, but since my initial fissure, I have been in near constant pain...24/7...and not just when I have a BM. No one has really been able to explain why that is. Anyways, my pain never stopped, and I recently relocated. So I sought out a new CRS, and when she examined me, she said the fissure was reopened, and she wants to do the LIS. I have it scheduled for 9/11. She may or may not also do a fissurectomy. It depends if she thinks I need that. I have a hunch I probably do, given how long it has been open and unhealed.

My question for you is how is your healing going now, this far out? How is your pain? Activity level? When my initial fissure occurred, I was training for a half-marathon and fairly active. Now...nothing. Walking hurts. Sitting hurts. Life hurts. I have never been so depressed. I am not that worried about the incontinence risk (my muscle tone is good, the docs say), but I am worried that I will go through all of this, and then just have two wounds to heal from instead of one...and maybe even more pain.

You said your recovery hasn't been that easy...can you expand on that a bit? I just would like to know what to expect? And I do certainly understand that it will be different for everyone.

Apologies for the long message. My anxiety over all of this is high. I'm tired of being in pain and exhausted from it all. Any info you (or anyone else) can provide would be most appreciated.

Thank you!!

hello, my husband just had an LIS 2 days ago. In your recuperation did you ever deal with chills and trembles? i am very concerned as i have been searching for answers and cant seem to find symptoms like this after an LIS. If possible, please respond however possible. Your help is greatly appreciated.

Hi and thanks for sharing! I noticed you mentioned you didn't have the smoothest recovery and I was hoping you could share more about that. It's been 10 day since I had LIS (chronic fissure on/off 4 yrs) and feel like something isn't quite right. I worry there may be infection at the site of some of my stitches. Pain has gotten worse over the last several days, especially during BM and if i sneeze or cough pain can go to a 8-9. No excess bleeding, just very sensitive and sore in that one spot where some stitches are.

This concern aside, I wish I'd taken the advice to get the surgery when my colorectal suggested it 4 yrs ago. My fissure probably came back for a few days every other month, but this last time I've missed 3 months of work. I'd tell those on the fence to go for it, get your life back.

Thanks!

That sounds like a possible infection. How did it turn out? Hope all is well with your husband.

Would love to hear how your healing went. Hope all is well!

are you better now? do you regret the surgery? I'm going in I Friday to have it done.