“intense rectal pressure after fissurectomy”
I had a fissurectomy on 5/10 and was doing well until about 3 days ago. Now after a bm, I have intense pressure and pain that lasts for hours even with pain meds and lidocaine ointment. I don't know what to do. I see my surgeon in 3 days. Is this normal? I am still having some drainage as well.
Female | 50 years old
Complaint duration: 3 days since this started
Medications: Nifedipine, lidocaine, hydrocodone
Conditions: chronic anal fissure (2 years)
7 Answers
We do not recommend fissurectomy for anal fissure/ulcer
Sphincterotomy is treatment of choice and provides almost instant relief with no time off work
Sphincterotomy is treatment of choice and provides almost instant relief with no time off work
It could be one of 3 diagnoses: - recurrent/persistent anal fissure- rectal infection (abscess) which may require drainage- acute hemorrhoid condition- such as thrombosed hemorrhoid Your surgeon should be able to assess the cause and recommend treatment- it may take an examination under anesthesia ("EUA") to figure out what's going on. Good Luck!
This is Not normal. I would recommend contacting your surgeon to see if they would like to see you sooner, or if they are okay with waiting for the 3 days. Melissa Adams MA and Surgery Scheduler for Dr. Jace Hyder 2237 Keystone Cir Suite C Andover, Ks 67002 Phone: 316-687-1090 Fax: 316-687-2234
Hi, your symptoms may or not may not related to recurrent fissure or it could be swollen hemorrhoids. Best way to tell would be to have the area examined and sounds like you are already seeing your surgeon. Sitz baths for the time being can help with the discomfort. Hope you feel better!
Hello. I am really sorry to hear that. This may indicate a possible recurrence of the anal fissure or incomplete healing following the fissurectomy. It is important to avoid constipation and staining. Taking a stool softener may be necessary. Also doing sitz bath helps reduce the pain, in addition to the nifedipine cream. It is very important to follow up with your surgeon for an anorectal examination.
I hope you feel better soon. Hopefully this is helpful information.
I hope you feel better soon. Hopefully this is helpful information.
I just found this message and you have probably seen your surgeon. Details of the operation would be required. There are many ways to treat fissures. Whether a spinterotomy was performed would be an important detail. Your post op symptoms would best be evaluated by your surgeon.
The fissure might have recurred. Probably best to be seen by a Colorectal Surgeon soon.
Best of luck.
Best of luck.
