Fissure & skin tag

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wednesday77
Regular Member


Date Joined Oct 2007
Total Posts : 390
   Posted 4/12/2008 5:46 PM (GMT -7)   
So I have this perianal skin tag which is very swollen and inflamed right now - I also have a deep and painful fissue on the side of it, which got much worse with my colonoscopy last week.  I have to call a colorectal surgeon on Monday but in the meantime:
 
Has anyone gone to a colorectal surgeon for a fissure?  What can they do?  I was under the impression the don't touch them while you are in a flare
 
and
 
What can I do now for the pain? 
 
I am having diarrea and lots of blood and gas (I always feel like this is TMI so sorry if anyone is grossed out :(  but everytime I go to the bathroom it is increasingly painful - I am taking baths, taking Tylenol, using lidocaine and hydrocortisone which doesn't help at all. 
 
Please, any suggestions!  I am up half the night and am crying with the pain.  It hurts to walk and my whole bottom is constantly aching.  I have had fissures before but not as bad as this one.
 
Thank you.  I hope everyone is feeling ok today.  Sometimes I don't know what I would do if I didn't have this board to read and realize that others are in the same situation as me. :)

dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 4/12/2008 6:03 PM (GMT -7)   
I got a script from my colorectal surgeon which I got at a compounding pharmacy. It can take up to 3 weeks to work...lets just say it hasnt worked yet. Sitz baths are a recommendation to make sure all of the feces gets clean. I had a script for betaval ointments for hemmies so until I saw my doc and was able to get the script I used that. When my doc examined the area on Wednesday lets just say he opened the area up til it got to my vaginal area. I feel like I am passing broken glass and razor blades when I pass gas nevermind when I have a BM and all I have is D post op still.

I have had superficial fissures before this one but mine got increasingly worse when I had my period the whole area swelled up between the 2 locations. I was out yesterday and I must have been walking like I had a load in my pants but it hurt so badly to walk
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


Pommom
Regular Member


Date Joined Mar 2008
Total Posts : 155
   Posted 4/12/2008 6:08 PM (GMT -7)   
Lordy Mercy. I feel for you. It is the most awful pain. By the time I saw the colorectal surgeon, mine had about all helaed. The only thing I found that worked was Nitro Bid Paste. Being a nitro glycerin med, it gives me a terrible headache. But I can handle that part. It is a RX med. I did the sitz bath every BM, too. I hope it gets better for you soon.
 
Diagnosed  Crohn's, 1998..Gangrene Small Bowel,1998..Ostomy Take Down,1999..TPN for 5 1/2 months..Adhesion Removal,1999..Abdominal Hernia Repair,2000..Kidney Artery Bypass,2001...MEDS--Lomotil,Purinethol,Folic Acid, Fish Oil,Remicade,Levsin SL,Anamantle Cream,Cortifoam ,Ultram.and many more. 29 meds..

dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 4/12/2008 6:20 PM (GMT -7)   
The compounded med I got is a vasaline based med with nitroglycerine in it I wonder if it has something to do with my sleepless nights
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/12/2008 6:21 PM (GMT -7)   
I have major issues with anal skin tags and have had fissures on and around them in the past...lots of sitz baths with epsome salts and gently rubbing extra virgine olive oil helps heal the fissures.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 4/12/2008 6:26 PM (GMT -7)   
I dont know if anyone here watches the view but I like to see when they have home remedies (i watch like 3 things at 1 time its awful especially with no picture in pic but they did say a home remedy for hemmies was olive oil since it will soften the area and it has anti-inflam properties
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


wednesday77
Regular Member


Date Joined Oct 2007
Total Posts : 390
   Posted 4/12/2008 6:29 PM (GMT -7)   

Dragonfly, that is what mine feels like now - i have had them before and they really hurt but this one is excruciating.  What do you mean the dr "opened it up?"  I have never been to a colorectal surgeon and would like to know exactly what they do - also, they give you some sort of pain killer/numbing agent before they start prodding, right?  Did it help you at all to see them?  I was reading how they use Botox to relax the muscles in the area as a therapy.

 

 

 


nawlinscate
Veteran Member


Date Joined Jan 2007
Total Posts : 656
   Posted 4/13/2008 4:10 PM (GMT -7)   

Two Fissure Experiences:

Several years ago, although I don't have Crohn's in my colon or rectum, I managed to get an abscess, a perianal fistula, and a fissure. The colorectal surgeon lanced the abscess (not fun!) and felt he could successfully operate to close up the fistula. He provided me with a cream that made my fissure feel much, much better (topical diltiazem, which keeps the torn rectal muscle from going into spasm and gives it a chance to heal). Although the cream improved the fissure, it didn't heal it. The surgeon told me that further surgery was possible, but he didn't recommend it--because it would make me incontinent. He said that he was disappointed, because he really thought the fissure would heal--although he said that they generally don't heal well in Crohn's patients. So I still have the fissure, which acts up whenever I'm in a flare or have a week of nonstop diarrhea.

Two years ago, my husband (who doesn't have Crohn's) began to have excruciating rectal pain, which he attributed to hemorrhoids. By excruciating, I mean eating all his meals standing up, being able to drive only short distances, and generally rolling around on the floor in pain and in a horrible temper. He insisted that he knew his own body and could figure out how to heal them himself. After 18 months--and using up all of my hydrocodone--and going to a Vietnamese doctor who specialized in lazer therapy for hemorrhoids--he still was no better.

I finally persuaded him to go to my colorectal surgeon, who immediately diagnosed a fissure (the source of the pain--NOT the hemorrhoids). He told my husband that if he'd only come to him early on, he would have prescribed the topical diltiazem, which probably would have healed the fissure. Instead, he had to have the surgery.

Pre-surgical exams are a little disconcerting, as you usually have to drop your pants and drape yourself over the end of an exam table--and then they rotate the table, so that your butt's up in the air. It isn't comfortable, but you've probably had worse. You're out cold for the surgery itself. You take pain pills for a day or two, after which you begin feeling pretty close to normal. My husband was amazed at how good he felt, and how quickly he healed. Within a couple of weeks, he had thrown away his soft buttpillows and started living a normal life again.

So fissure surgery wouldn't be anybody's first choice of a life experience--but it beats the alternative of trying to live with a really severe fissure. I've learned to live with mine, when it's bad, but I regret that it isn't correctable with surgery, which gives you a bad week or so and then returns you gratefully to normalcy.

Good luck getting through this rough period. I hope everything works out well for you.


dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 4/13/2008 4:21 PM (GMT -7)   
I was introduced to my colorectal doc by the ER back in 07 when I needed emergency resection Sx and 3 more since that one. I had complained of pain in the anal region before and he had Dx thrombosed hemmies. With all of my D post op this time I was having severe burning etc. Back in march I felt a couple places bulging looked at the mirror and it was skin colored swelling. When the area was still swollen when I saw my doc this past week he had me kneel on the exam chair/table and he just placed exam gloves on and gently moved the skin around in the swollen area to get a view to see if there was a fissure and if it was closer inside the anal canal or hiding amongst the swelling.

It was very tender with the exam and just with the manipulation when he spread the area it cracked open to the vaginal area. Luckily the betaval ointment I have cleared up the new tear that was made at the office. When I mentioned the painful area in March he gave me rectagel since we assumed at that point it was the hemmies again since I had no noticable swelling on my part as far as I could tell. I began noticing it about 1 week after using the rectagel. No numbing med was used on my anal area prior to the exam it wasnt horrificly painful and at the time of my exam i had no pain meds in me whatsoever and I have recently gotten off fentanyl patches for my Sx and I still have dilaudid pills as needed but had none in me. I have had topical lidocaine on my anal area before it was in that rectagel but it never numbed it to where there was no pain. I have had lidocaine before but it was in my stomach and had to be injected in 6 areas trust me injection of lidocaine in my belly was more uncomfortable than the exam I had for my fissure and the lidocaine was done when I was on both pain meds listed above
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


ginger71
Veteran Member


Date Joined Nov 2005
Total Posts : 722
   Posted 4/13/2008 4:59 PM (GMT -7)   
I used diltiazem (I believe that is tsimilar to he cream that dragonfly mentioned) It is actually for heart patients in the pill form. It is supposed to stimulate the flow of blood to the area. It worked really well for me but it did take about a nmonth. I had a VERY deep fissure and it was 2 inches long. It started at a skin tag and went towards the back.My colorectal just told me to take lots of sitz baths but no epsom salts..... and that was soothing. I also used rosebud salve for the pain in between applications of cream. (Rosebud salve is a petroleum product at Sephora.)
Best of luck. Sorry you're feeling so much discomfort.  Hope you're better soon.
37 year old female. Dx'd and undx'd a few times. Was just redx'd again 04/2007.
History of rectal abscesses and fistulas (29 surgeries including abscess I & D, exploratory surgeries, 4 C-ton drains and 1 fistula plug) Have also had several self bursting abscesses.
1st Remicade infusion 6/5/07-still taking it.  Praying I'll get better soon so we can have a baby.
Ginger :)


wednesday77
Regular Member


Date Joined Oct 2007
Total Posts : 390
   Posted 4/13/2008 7:23 PM (GMT -7)   

Thanks for all the input!  I love Rosebud salve but I use it for more, er, traditional uses (as lipgloss, lol) - I guess I am afraid to start putting non-RX medicine down there but will try anything.

Like I said, I have had this fissure before and am just praying that it heals soon so I can get some relief.  Usually when I get better it gets better, but unless this new Lialda kicks in soon I will just have to wait and see.  It has never been this bad before, but I think what happened is that since the skin tag is so inflamed it has torn and is now 2 fissures. 

I am so grateful for this board - these aren't the kind of things you can talk about with anybody.  Thank you for sharing your experiences!

 

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