I am sorry to hear about this. I am not sure anyone here has the exact problem you have. Your description is quite severe compared to what we hear about. I do have chronic constipation. I use tons of fiber supplements and all the rest of the usual strategies. It is from the opposite problem though - slow transit motility (lack of parastaltic muscle contractions in the colon). I don't know about the sphincter surgery. I do know that there are spasticity meds out there that have helped other types of muscle spasms. Baclofen comes to mind............maybe you could ask to try that. I am so sorry about this. I would be scared to have that surgery as well.
Post Edited By Moderator (Gretchen1) : 12/29/2008 10:54:32 AM (GMT-7)
I have exactly the same problem as you do it seems. I have been suffering from sever constipation for the past 7 months. I have not had a single bowel movement during this time. The numerous laxatives, fiber supplements that I have tried only made the matters worse; the pain increased to the point where I could not function at all. I have seen a variety of doctors, even went to the Mayo clinic, so sever was the pain; I was and still am very weak and unable either to work and study for the most part of the day. The only relieve I get is doing three to six water enemas daily but they do not help to evacuate the gas and bulk completely; so I am still left bloating and with dull abdominal pain unable to eat much during the day. I have just completed the anorectal monametry test and they found that as in your case I have spastic or hypertonic internal anal sphincter. My gastroenterologist suggested that before cutting into the sphincter we might try to use a botox injection on this muscle first. This procedure would allow to paralyze the muscle and thus to keep it from contracting even further when it needs to relax. This may be a temporary solution or it may work for a longer period of time a year or even more and then might need to be repeated but it is something to ask your doctor about if you did not know that such an option exists. I am having this procedure done this Friday so I can let you know whether it helped me or not. I hope this helps; good luck to you.