Butt hurt

[FloridaJen]

Well I just had my endoscopy and a rectal check and I have a small anal fissure. Already. Ugh. This isn’t a good sign for me going forward with DS is it? She prescribed nitroglycerin ointment 4 times a day for 3 months. Any thoughts on this? Advice?

I also have a small erosion/bleed in stomach (she clipped) and a small hiatal hernia.

Good times. I’m currently waiting for insurance approval/denial.

Thanks for your expertise.

Jen

 

[DianaCox]

Medical (as opposed to surgical) treatment of anal fissure is feasible. Look up my post about it here.

 

[FloridaJen]

Medical (as opposed to surgical) treatment of anal fissure is feasible. Look up my post about it here.

Thank you. Did you have any issues before DS? Should I be prepared for a chronic issue?

 

[hilary1617]

Hi, I am having a surgery in October and while I am under general, the surgeon is going to flip me over and inject Botox to resolve my chronic fissures. I'll let you know how that goes, but it apparently is pretty effective. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349361/

 

[FloridaJen]

Hi, I am having a surgery in October and while I am under general, the surgeon is going to flip me over and inject Botox to resolve my chronic fissures. I'll let you know how that goes, but it apparently is pretty effective. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349361/

Interesting!

 

[LizJ]

I had a double anal fissure before WLS and I have no problem no, almost 3 years out. I did a non surgical approach as well. It's been a while, so I don't recall everything, I do recall different creams a few times a day and oral meds plus sitz baths. Now I do eat have to eat more than 75 grams of fat a day and take 2 doses of mirilax EVERYDAY. I can't miss a day and I'm working hard at getting my fat higher. I currently hover right over 80 grams and I'm slowly pushing it up. My system doesn't handle high fat very well, over 95 it's not pretty. My goal is to get to 95 daily very slowly and see if I sneak up on it, if my system will adjust. Good luck!

 

[FloridaJen]

I had a double anal fissure before WLS and I have no problem no, almost 3 years out. I did a non surgical approach as well. It's been a while, so I don't recall everything, I do recall different creams a few times a day and oral meds plus sitz baths. Now I do eat have to eat more than 75 grams of fat a day and take 2 doses of mirilax EVERYDAY. I can't miss a day and I'm working hard at getting my fat higher. I currently hover right over 80 grams and I'm slowly pushing it up. My system doesn't handle high fat very well, over 95 it's not pretty. My goal is to get to 95 daily very slowly and see if I sneak up on it, if my system will adjust. Good luck!

Thank you! She said it was small but to do the nitro 4 times a day, I also have an Rx for lidocaine but no pharmacy has it, so I’ll check online per Diane’s post. I don’t want too much that will mess with my heart as I have hypertension and a resting heart rate of 95-100 as it is.

 

[LizJ]

Hi, I am having a surgery in October and while I am under general, the surgeon is going to flip me over and inject Botox to resolve my chronic fissures. I'll let you know how that goes, but it apparently is pretty effective. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349361/

I'm going to copy this to my doctor encase I ever get another one!

 

[DianaCox]

Thank you. Did you have any issues before DS? Should I be prepared for a chronic issue?

Yes - I had surgery in 1995 for an anal fissure (misdiagnosed and mis-treated for 3 years - I'll leave it at that). Since my DS, I had an early fissure that was treated medically once or twice - it worked. You can buy OTC lidocaine (https://www.amazon.com/Pipedreams-PD9804-62-Anal-Eaze-Desensitiz/dp/B007YSIL7U) - cheaper that a script too. Just be careful with it, because it is absorbed into the bloodstream via mucous membranes, and can slow your heart. A little dab'll do ya.

 

[FloridaJen]

Yes - I had surgery in 1995 for an anal fissure (misdiagnosed and mis-treated for 3 years - I'll leave it at that). Since my DS, I had an early fissure that was treated medically once or twice - it worked. You can buy OTC lidocaine (https://www.amazon.com/Pipedreams-PD9804-62-Anal-Eaze-Desensitiz/dp/B007YSIL7U) - cheaper that a script too. Just be careful with it, because it is absorbed into the bloodstream via mucous membranes, and can slow your heart. A little dab'll do ya.

Oh if it slows my heart are that’s good since mine runs super high. Thank you!

 

[FloridaJen]

Yes - I had surgery in 1995 for an anal fissure (misdiagnosed and mis-treated for 3 years - I'll leave it at that). Since my DS, I had an early fissure that was treated medically once or twice - it worked. You can buy OTC lidocaine (https://www.amazon.com/Pipedreams-PD9804-62-Anal-Eaze-Desensitiz/dp/B007YSIL7U) - cheaper that a script too. Just be careful with it, because it is absorbed into the bloodstream via mucous membranes, and can slow your heart. A little dab'll do ya.

Two questions...
How did you discover this?
Why is it cherry flavored?

The reviews are fun. Lol

 

[DianaCox]

I will leave the flavoring part to your imagination - it also comes in unflavored . Someone on one of the websites for anal fissures suggested it, and I bought a lifetime supply (online order at the time was 5 tubes and I haven't used up one yet).

 

[FloridaJen]

I will leave the flavoring part to your imagination - it also comes in unflavored . Someone on one of the websites for anal fissures suggested it, and I bought a lifetime supply (online order at the time was 5 tubes and I haven't used up one yet).

thank you!

 

[Munchkin]

Sometimes my mind just goes where it shouldn't and cherry flavored... Sort of like lube.

 

[DianaCox]

Sometimes my mind just goes where it shouldn't and cherry flavored... Sort of like lube.

Exactly like lube - with an anesthetic. Meh.