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This is my first post on this forum, though I have been following it for a while. I am a 56 year old male. I was diagnosed with a fissure over 10 years ago, well the first Gp to examine me said it was proctalgia fugax after forcefully inserting her finger up there. You could hear my screams next door it hurt so much ! But a visit to the hospital diagnosed a fissure which has been active for a few months each year since then. Though the underlying cause is the fact that my anus is so tight all the time, it is hard to insert my little finger to apply medication. Last year when the fissure became infected, the GP I saw put me on the 5 month waiting list to see a consultant, after giving me tramadol, which didn't reduce the unbearable pain at all. I was then lucky enough to see the best GP in my local practice who has sadly now retired. She told me to increase my dosage of Laxido, a stool softening laxative, to up to 8 sachets a day. Though I had been prescribed it for a long time, no one had said to take so much. Anyway, it worked ! I also was using GTN.
I have now seen the consultant who said she could help, as the muscles around my anus were very tight, which I already knew as I have already said, I found it hard to even insert my little finger to apply the GTN cream. Oh, on that note, don't try using a sryinge to apply GTN "up there" I did once and almost passed out as it gets absorbed so quickly.
So, I have been pain free since last August when I upped my Laxido dosage. I now take about 2 to 3 sachets daily. the Gp who upped the dose told me to consider using it for life as an alternative to surgery. I am due to see the consultant in a few weeks as she wants to do an examination under general anasthetic with the option of botox, as a prelude to having the lateral sphincterotomy. I have talked to 2 people who have had the surgery. One said that they would have happily shot themselves after, due to the pain. The other just said that it didn't help much. So should I have the surgery or just carry on with Laxido for the rest of my life ?
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