Before my surgery, when I had CD in my rectum, I not only was taking oral pain meds, plus all of the oral steroids, but I was also using hydrocortisone suppositories, cortenemas, and then for pain - belladonna and opium suppositories (specially mixed and made for me back then), and lidocaine gel. I did this for months trying to avoid the operation at age 23-24, with no luck. I take Bentyl now only as needed, but I found that I cannot tolerate Levsin. When I tried it years ago, I ended up with a bladder infection and that is really rare for me. My dr and I decided that the Levsin just relaxed the bladder too much and it wouldn't empty all the way, causing the infection. Isn't that weird? Relaxed the wrong soft tissue! The lidocaine gel helped to numb the area, esp after bm's. I had anal fissures too.
Hang in there.. just be sure to voice your concerns to your dr. about this pain management to get you thru. Don't suffer.
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery