tag:blogger.com,1999:blog-2760353953251845523.post343019845564965483..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Anal FissureJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger26125tag:blogger.com,1999:blog-2760353953251845523.post-19559258193659616002013-08-26T06:42:43.588-04:002013-08-26T06:42:43.588-04:00Nitroglycerin ointment is an ideal treatment for a...Nitroglycerin ointment is an ideal treatment for anal fissure as one can avoid surgery. sandrahttp://www.verticalpharmacy.net/anti-hemorrhoids/nitrogesic-458.htmlnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-35956971941951341332012-01-05T02:32:31.680-05:002012-01-05T02:32:31.680-05:00i cannot even begin to tell you how much pain i am...i cannot even begin to tell you how much pain i am in, and how utterly humiliating trying to treat this has been. this had been going on for more than half a year...i had one a few years ago and it wasn't painful and it went away on its own. but this was immediately painful to the point where a can barely sit, and sleep. I went to my normal doctor because the wait to see a G.I. specialist is over a month...and she prescribed me these awful suppositories that not only hurt like hell to insert but didn't help. I increased my fiber intake and i have to take mirolax daily to prevent ripping...and even that doesn't always help and the bottle says not to take for more than 7 days i am definitely over that. I tried to switch to a bulk fiber supplement but that seemed to make things thicker and that caused tearing as well... I finally made an appointment with the G.I. specialist but it is not for 3 more weeks and i am barley getting through my everyday life...i called my normal doctor back begging to try something else and she gave me even larger suppositories i cant even begin to try to insert them because of how much pain im in i am never going back to that woman....what part of my butt-hole is ripped makes putting a giant suppository up there sound like a good idea? trying to insert it causes more tearing! at this point i am just scared to death that there is permanent damage done. i am barely able to go to the bathroom...it tears almost every time and bleeds quite a bit. i have horrible itching anytime after i go to the bathroom and even a hot soak in the bath only helps while im in it...i just hope that this isn't permanent damage and that it can be healed im terrified of becoming incontinent....can these become infected? im seriously concerned and i have a few weeks before i can have someone qualified look at it. :( i am in so much painAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-29871545428404709962011-09-30T00:03:38.395-04:002011-09-30T00:03:38.395-04:00Well I'm on my 4th surgery and I'm having ...Well I'm on my 4th surgery and I'm having trouble healing from surgery. The Fissure is still there and my doctor is sending me to a hospital in New Orleans if i don't heal this time for further care.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-75498361641262155862011-08-18T22:59:03.251-04:002011-08-18T22:59:03.251-04:00I had my sphincterotomy for anal fissure a year ag...I had my <a href="http://www.squidoo.com/sphincterotomy-for-anal-fissure" rel="nofollow">sphincterotomy for anal fissure</a> a year ago and it is the best decision I have made. Now I am having a normal toilet life again :)adamhttps://www.blogger.com/profile/00414109682922343266noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-4951483178053807082011-04-12T00:53:57.576-04:002011-04-12T00:53:57.576-04:00In 2003 I experienced the pain of anal fissure, af...In 2003 I experienced the pain of anal fissure, after using stool softeners, lidocaine and suppositories, I received some relief from Glyceryl trinitrate or GTN ointment.It eased the pain and seemed to cure the fissure but caused headaches almost immediately. Three years later, the problem arose again. I used every single treatment, sitz baths, Proctofoam, GTN ointment, Lidocaine gel, stool softeners, increased fiber intake and the only thing that helped was the botox injection directly into the fissure. Athough it eased the pain instantly, the bleeding continued so I opted to go through the lateral sphincterotomy procedure. It was done and I experienced one day of pain as anesthesia wore off. No problems since and that was over a year ago.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-61947813872465403892010-12-09T09:33:28.377-05:002010-12-09T09:33:28.377-05:00Have you ever had a situation where the incision s...Have you ever had a situation where the incision spot will NOT heal after this surgery? Any suggestions? My Dr told me that I would just get used to the pain and bleeding and I probabaly would not notice it after some time??? It is just like a fissure...only man made. It is painful and it is controling my life. His answer was also that the trend would be my friend until the end. Meaning that this is about as good as it will get? I really have a hard time believing this? No other Drs will see you if you have already had surgery with some one else. I would love any opinion. It has been 5 months since my surgery.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-53243025394642837502010-11-04T21:32:41.547-04:002010-11-04T21:32:41.547-04:00Is a sentinel tag (flap of skin, vs. the bumps out...Is a sentinel tag (flap of skin, vs. the bumps outside the anus - have those too) near the vaginal area (anterior?) a sure sign of a fissure or not necessarily (hence maybe just a hemorrhoid or loose skin)? Can a sentinel tag, what I'm calling anterior (near perineum) heal without surgery? Is there anything (or astringent things) that can be done to assist this healing? *Finally, and most importantly, is a surgery to correct what I'm calling an anterior sentinel tag associated with the risk of (fecal?) incontinence like you said the surgery for anterior anal fissure is? Not asking for advice, but general info I can discuss with a doctor, thanks.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-3908201910909330142010-07-28T16:09:05.011-04:002010-07-28T16:09:05.011-04:00hello Docter,Im 27 yrs old male and have anal fiss...hello Docter,Im 27 yrs old male and have anal fissure and its old also,i mean its been 1 year that im suffering from itching and discomfort in anal,bleeding occurs very rare(once in two month).I have tried every solution.Docters have suggested me surgery,bt im too much afraid of the consequences as i have read that 5% of the patient after surgery gets compliction.I smoke also,Does it aids the problem.and my stomach is not well all the time.All the time i feel that there is something that is causing the discomfort in stomach as well and it increases as i have TEA or CIGGRETE.Please suggest something as im just spending evry day and not enjoying my work and life.Want to see the world without the discomfort.Unknownhttps://www.blogger.com/profile/02859681114213347020noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-80317063795455245912010-04-23T00:59:25.155-04:002010-04-23T00:59:25.155-04:00this is mu 2nd anal fisher i am 38 i have had surg...this is mu 2nd anal fisher i am 38 i have had surgery and now its back i am taking nitro-bid,lidocaine.hemorrid cream sitz bath i grip the walls please doc advice please also i saw a doctor they said nogo because i already had a sphixonotamy(?) i am also on malrlex.donna hhttps://www.blogger.com/profile/11672842767761423144noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-1850079928766230652010-03-16T17:23:45.826-04:002010-03-16T17:23:45.826-04:00diltiazem should be applied to anal margin area; s...diltiazem should be applied to anal margin area; specifically to area where it hurts. Dont stick it too far up inside.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-91399390513855872102010-03-16T14:24:40.304-04:002010-03-16T14:24:40.304-04:00How to apply the diltiazem. Should that be applied...How to apply the diltiazem. Should that be applied on the opening or should it be inserted inside with the finger.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-6192314058633239162010-01-15T12:21:33.517-05:002010-01-15T12:21:33.517-05:00I had never had fissures until after the birth of ...I had never had fissures until after the birth of my son 15 months ago. They have not healed in all that time. I can manage them by taking Metamucil every day... but the minute I don't take it, or drink less water, or eat anything other than veges and whole wheat etc, they are back. I have never felt such pain. My question is this: I had an episiotomy.... could this have affected something in the area to cause this?LisaBnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-33637416312519213832009-07-25T11:07:58.251-04:002009-07-25T11:07:58.251-04:00If you have a liquid solution, it weill be difficu...If you have a liquid solution, it weill be difficult to apply that to the anus. I would take it back and get the jelly....Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-66293636701246985972009-07-25T11:06:07.930-04:002009-07-25T11:06:07.930-04:00Doctor, I have a fissure and have just realized th...Doctor, I have a fissure and have just realized the prescription was filled with Lidocaine 2% Viscous solution RX, which is actually an oral solution. Is this ok to use or do I need to take it back to the pharmacy for the gel. The pharmacy seems to think it works the same way as the form that resembles vaseline, is it really the sameAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-3195831783968574652009-06-05T13:40:52.943-04:002009-06-05T13:40:52.943-04:00So I had the sphincterotomy and it worked for abou...So I had the sphincterotomy and it worked for about a month. Then back to the same old pain and bleeding. Then we talked with a specialist and he suggested putting a cotton ball there to draw out the moisture. Sounds weird, but it has helped me a lot, and the pain still comes and goes, but it is so much more manageable. I write this because it wasn't on any website that I ever read, so there you have it. Cotton balls. Not as uncomfortable as it seems like it would be...Amandanoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-71436098461808203502008-08-20T02:32:00.000-04:002008-08-20T02:32:00.000-04:00Hey Doc...so here's a question, I had an anal fiss...Hey Doc...so here's a question, I had an anal fissure about 2 1/2 years ago. I had surgery because my anus was "too tight". I believe I am starting to get another one again. Is that possible? BTW, I appreciate your since of humor, maybe you will mine too- when the Doc told me I had an anal fissure for the first time I thought he said anal fisher, all I could picture was a little man fishing down there like an icehole. My hubby said he was fishing for crappie!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-5023341465241870162008-07-29T12:29:00.000-04:002008-07-29T12:29:00.000-04:00Hi, I found some useful information about anal fis...Hi, I found some useful information about anal fissure home treatment and it sounds quite reasonable:<BR/><A HREF="http://www.anal-fissure.net/home-treatment/" REL="nofollow" TITLE="anal fissure home treatment">anal fissure home treatment</A>.Matija Hitihttps://www.blogger.com/profile/08833755194552513090noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-64178440471356232772008-05-10T18:30:00.000-04:002008-05-10T18:30:00.000-04:00Gotta be careful with anterior ones, especially in...Gotta be careful with anterior ones, especially in women. Not much sphincter anteriorly and you can render a patient incontinent with an overly aggressive approach. Anterior fissures can also be seen in patients with Crohn's disease....Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-13453870823097720392008-05-10T03:13:00.000-04:002008-05-10T03:13:00.000-04:00What about those anteriorly, any difference in hea...What about those anteriorly, any difference in healing?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-36112173009391748572008-04-14T11:08:00.000-04:002008-04-14T11:08:00.000-04:00Dino- By all means. Nice to see you stop by.Dino- By all means. Nice to see you stop by.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-69268595035308107152008-04-13T20:52:00.000-04:002008-04-13T20:52:00.000-04:00Er, so why can't I recommend the sitz baths and wr...Er, so why can't I recommend the sitz baths and write for the lidocaine jelly, waiting to refer only those who don't heal (the minority, as you say) to you? Oh wait: I do. Not every asshole deserves a surgeon, and vice versa. (Sorry; couldn't resist. Nice blog, btw.)#1 Dinosaurhttps://www.blogger.com/profile/01357845504444464397noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-91161869484650280712008-04-09T10:11:00.000-04:002008-04-09T10:11:00.000-04:00Problem with lithotomy is that it's hard to get an...Problem with lithotomy is that it's hard to get an assistant in there to help you because it's so tight. Say you need to resuture a hemorrhoid pedicle and blood is everywhere; it's MUCH easier to have the patient in prone jack knife.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-52830767191171056792008-04-08T22:49:00.000-04:002008-04-08T22:49:00.000-04:00I've always done them in lithotomy as well. Altho...I've always done them in lithotomy as well. Although there is something appealing about looking down at a prone anus rather than having it at eye level in lithotomy.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-34310967785863661822008-04-06T23:40:00.000-04:002008-04-06T23:40:00.000-04:00Good post, with good info. I always did mine (hemo...Good post, with good info. I always did mine (hemorrhoids, too) in lithotomy position, mainly because it's so much easier for anesthesia.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-87263350752499023852008-04-06T22:05:00.000-04:002008-04-06T22:05:00.000-04:00My son had this (age 17), after falling 65 ft. ont...My son had this (age 17), after falling 65 ft. onto a pipe in the straddle position. He mashed up his sacral plexus, and it was no fun to get his bowels working again. The first one made him cry like a baby--it was horrible.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.com