Will Likely Have Lateral internal sphincterotomy Soon - Need A Friend :)

Edited , 2 users are following.


I am scheduled for examination under anesthesia soon during which is it likely that they'll make a 'game time' decision to do LIS for a chronic fissure that has failed Diltiazem and Botox (been dealing with this since May). So - anyone who has been down my shared road of failures (LOL) and has had the LIS want to be a friend and walk me through what to expect, and your outcome? Thanks in advance.

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    I also went through the same thing. I tried both rectogesic and antrolin creams for months and then I did botox. My fissure never fully healed so I got LIS surgery done almost 5 weeks ago. They also removed the skin tag.

    I was put under General Anesthesia. I woke up in the post-op room pretty groggy. Had some pain so they gave me more meds. I wasn't nauseous though as I thought I would be from the GA. My surgery was in the early evening, like 5:30pm so I ended up staying over night and left around 8:30am. I probably could have left earlier, but didn't need to rush and I paid for a 24 hour hospital stay anyways which was the minimum. I was pretty groggy from the morphine until like 2am, so made no sense to leave then. I started getting pain again soon after, and was given Targin (which is oxycodone-with-naloxone controlled-release. The naloxone is supposed to help opioid induced constipation). I was prescribed this for 10 days. The first week was pretty awful for me. I pretty much laid around the entire time. For me, the pain meds only lasted maybe 3-4 hours before wearing off, and I supplemented with over the counter meds since the doctor said not to take more than once every 12 hours.

    My first bowel movement was really rough. I highly recommend starting to take extra fiber and drinking tons of water supplements the week or more before the surgery. I did not do this and I think this highly contributed to a painful bowel movement, which came on the 3rd day post surgery. It was very compacted and dense and was not easy to pass. It took hours. I ended up having to go into the bathtub. The second week was also pretty rough, but a little better than first week. I would say the first 2.5-3 weeks were pretty bad for me. I wasn't able to stand very long and it hurt to really do any kind of movement. Then after that it got better and could function more.

    I had a follow up appointment at 4 weeks. The surgeon said the fissure was totally healed. The incision wound was open, but he said it looks how it should and it would take another 2-3 weeks to heal fully. I also still have stitches from the skin tag removable that should dissolve. I had stitches at the incision site as well, but that one came off one time when I wiped at about 3 weeks post-op. Surgeon said it was fine.

    I'm doing much better now, and can go out and do things. I look forward to being fully healed. I had my fissure from September 2019.

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    • Posted

      Thank you for the detailed reply. I appreciate it and I hope that you continue to improve quickly. It gives me hope that you're up and about now. And thank God the fissure healed -what good news. Take care of yourself.

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      Hi. I have two more questions for you 1. Did you have someone stay with you for the first few days/week -is it necessary? or will I be ok on my own? And - 2. I live in a townhouse, do you think the stairs will be a problem? Thank you - just trying to plan for my surgery.

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    • Posted

      Hello! Sorry I only saw the notification now. I hope it isn't too late. I definitely recommend someone staying with you. I personally needed a lot of help for about 2 weeks minimum. I'm married and my husband had been working from home anyways because of corona so he was able to be around the whole time to help and go out to get things when we needed it. I live in a one floor apartment so I didn't work with stairs. I had a hard time standing up, sitting down, laying down, rolling over. I also couldn't stand for too long so I wasn't able to really make myself food. I think I had a harder recovery than I've heard other people having. I couldn't really bend down to pick things up so well.

      Once you're standing, stairs might not be an issue. Its really the getting up and sitting down/laying down. I had to do like a rolling maneuver.

      Let me know if you have any more questions!

      I also recommend that you start on fiber before the surgery because the first bowel movement was horrible (the doctor said it wouldnt be an issue, but it definitely was!). I now take psyllium husk twice a day and try to drink loads of water. I put the psyllium in foods like oat meal or cereal. It says to take in water, but I have a hard time swallowing water with pieces. It really does help, i just wish I started before the surgery and not afterwards. I was also given paraffin oil which really helped as well. Highly recommend. It has a greasy texture but I just chased with water. I took that for about 3 weeks almost.

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      Hi There. We spoke about a month ago and I thought of our conversation a lot these past few weeks because I remembered how rough you said your recovery was. I was really glad you were honest with me because it is the only thing that has comforted me lately - I had my LIS surgery on Sept. 1st. And while I had hoped that I would be 'like everyone else' who bounced back a week later - I have been struggling really hard. It's been exactly 2 weeks today that I had the LIS and I am still pretty miserable.

      Like you, I had a skin tag removed as well. My spasms have stopped and I do feel a little bit better than before the LIS - but honestly - it burns so bad and itches so bad every day and feels tight when I move or bend over or get up. And it's really upsetting me because I feel like it's not working and I'll be like this forever...especially when compared to most people recovering from LIS. My surgeon says to 'hang in there' and she thinks I'm just having a tough recovery. I am having BMs fine with no pain and using stool softener/laxative daily so that's going well. I just don't feel good.

      That's why I am reaching back out --did you ever feel this way during your recovery? hopeless? or did you just assume it would work? How are you feeling now? (I think it's been about ten weeks for you now). I guess you just stuck in my mind because I feel like we have/had a similar recovery - rougher than most. I hope you are well and enjoying a pain-free life. Any encouragement you have or advice is welcome. Thanks a million.

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