See the Colon and Rectal surgeon today:(

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krw135
Regular Member


Date Joined Mar 2010
Total Posts : 186
   Posted 7/22/2010 8:22 AM (GMT -7)   
I am seeing the surgeon today for a fissure and I think possibly a fistula.  I absolutely dread this.  Any ideas on what he will want to do?  Even toilet paper hurts these days, so I am freaking out that he will want to do the mini-scope thing in his office.  sorry, I guess I am just nervous and needed to vent and try to relax.  I just cant stand this pain anymore, I HATE taking any kind of pain meds but I have already taken 3 norco today and I am still very uncomfortable.  Again sorry, but thanks for listening to me.  I just don't know what to expect.
 
Thanks!!!
I am a 29 yo female, Dx with UC in 97, hospital stays monthly, tons of blood transfusion, bowel rest on TPN, prednisone, asacol, sulfa, imuran, VSP
99- multiple failed remicade treatments, more hospital stays
finally in 2001 had enough and had total colectomy (j-pouch) surgery, 1st step was good, then the reversal was not such a breeze, got peritinitis which was awful!!
the rest of 2001-2006 were amazing!
now having problems again- they are thinking Crohns.- have been on Humira with no luck


sr5599
Veteran Member


Date Joined Aug 2007
Total Posts : 1202
   Posted 7/22/2010 10:46 AM (GMT -7)   
I saw my CR surgeon yesterday... Not for the same thing though. I never had anything done the time I had a fissure. The docs gave me something to put on it, but it's been a long time and I don't remember what it was. Some sort of vaso-constrictor.

When I went in with abscess/fistula, they put me into sedation (they were perianal fistulas) and did what's called an i&d - incision and drainage. It was done under sedation, not general anesthesia. (So like a colonoscopy, not surgery) She cut into them, drained them, cleaned them out then put in a seton to help heal. The seton, for me, was a piece of vinyl string that looped around the anus through the fistula. I guess the idea is that the seton encourages the skin to grow around it, helping to close the fistula.

If you're just meeting with your surgeon, and don't have this scheduled yet, they'll probably just take a look and see what's going on. I always hate that...

After the actual procedure was done, I was sent home with pain meds. It took a few days to feel like I could sit properly, but all in all, it wasn't bad. Definitely worse the first time than the second/third times. The pain was controlled with the meds she gave me. I had to take baths several times each day. It was hard to look at the area though. Sad... But, it got better.

Good luck and hugs to you!
1 fistula, crohn's colitis, limited to large intestine
Compounded budesonide 3mg/daily, Cimzia. Dx Osteoporosis 10/08 started Forteo 1/27/09


krw135
Regular Member


Date Joined Mar 2010
Total Posts : 186
   Posted 7/22/2010 1:53 PM (GMT -7)   
Thank you Sr! I just got back. He attempted to do a exam but I was so inflammed it didn't go well. He has set me up for a "look and see" type procedure with sedation next week. He said he may inject a little botox if need be. He has put me on cipro and some cream (paste) to help with the pain. He also mentioned a surgery he might need to do to dialate the area- so will just wait and see how next week goes.
Thanks for your reply- it really means a lot to me:)
I am a 29 yo female, Dx with UC in 97, hospital stays monthly, tons of blood transfusion, bowel rest on TPN, prednisone, asacol, sulfa, imuran, VSP
99- multiple failed remicade treatments, more hospital stays
finally in 2001 had enough and had total colectomy (j-pouch) surgery, 1st step was good, then the reversal was not such a breeze, got peritinitis which was awful!!
the rest of 2001-2006 were amazing!
now having problems again- they are thinking Crohns.- have been on Humira with no luck


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 7/22/2010 2:43 PM (GMT -7)   
I'm glad you got through it, krw.

Sedation sounds like a good idea, if you're that inflamed.

Hang in there,

Ivy.
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~


krw135
Regular Member


Date Joined Mar 2010
Total Posts : 186
   Posted 7/22/2010 2:55 PM (GMT -7)   
Thank you Ivy! I am trying too... I am about to take bath # 8 for today:)
I am a 29 yo female, Dx with UC in 97, hospital stays monthly, tons of blood transfusion, bowel rest on TPN, prednisone, asacol, sulfa, imuran, VSP
99- multiple failed remicade treatments, more hospital stays
finally in 2001 had enough and had total colectomy (j-pouch) surgery, 1st step was good, then the reversal was not such a breeze, got peritinitis which was awful!!
the rest of 2001-2006 were amazing!
now having problems again- they are thinking Crohns.- have been on Humira with no luck

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