Discussions By Condition: I cannot get a diagnosis.

lichen sclerosis and anal fissure

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: Anonymous
  • October 15, 2006
  • 10:44 AM

It has been several years that I have had this horrible vaginal itiching that has progressed to vaginal bleeding and eventually led to a dc and vaginal biopsy. The diagnosis from the gynecologist: lichen schlerosis and prescription was clobetesol. As far as the anal fissure, that was diagnosed by the gastroenterologist and the prescription was analphram 2%. So I am using two differen creams in my bottom...
The gastro md says I will need surgery if this cream doesn't take care of the fissure...
Has anyone had this? Suggestions, stories, etc.would be welcomed!!!

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6 Replies:

  • My answers may not resolve your questions because I do not know just what your MSs have accomplished in your cases. As to a fissure, you should visit the best Proctologist in your area or beyond. More than likely, if not it will visit you soon, a fissure will proceed until there is a exit to the outside of the bowel near the anus. This will need to be drained and then will heal but there will be more much channeling to the surface. If not fissure is not removed then the process will continue and cause ulcers about the anus and when surgery is finally forced there is a chance of damage to one or more of the three muscles that control the anus. Check into this matter with the proper MD.As to the other I think I would find a very good Urologist/Internist who will be eager to run a full battery of test for you. (I mean look for another MD).
    Anonymous 42,789 Replies
    • October 19, 2006
    • 03:18 PM
    • 0
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  • ah yes fun times of anal fissures, I have Crohn's and I am quite familliar with the above, I had surgery on them before I was diagnosed with Crohn's, I had four at one time (apparently a record, according to the sketchy surgeon, mind u had my stupid GP diagnosed them 6 months prior when the bleeding started) , I could not even sit, anyway, the surgery worked immediately, however then I got an abcess within the first month, resulting in more fun times, drainage blah, blah. My complications and severity of the fissures was due to my Crohn's, so that does not mean it will happen to u, if u do have a weakened immumne system for whatever reason (i am not familliar with lichen sclerosis) do not have surgery as improper healing is an issue, hence the abcess. Also even though I had the surgery 3yrs ago, I still frequently get fissures and the abcess still drains even though I have not had any Crohn's symptoms for over a year.
    Anonymous 42,789 Replies
    • October 20, 2006
    • 09:00 PM
    • 0
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  • You would definitely know if you needed surgery for a fissure. The pain is not really bearable. As another post stated, you can't even sit down. Hopefully the steroids your doctor prescribed will work. If you do need the surgery I would tell you that recovery, for me, was very painful. The doctor said I would be up and around in a day or two. I don't know if my surgery was done correctly, or if it is just normal, but it took about two weeks to recover completely. I went into surgery thinking it would be no big deal, but when I woke up I was in a lot of pain. I am posting this because I wish I would have known this before surgery (although not having the surgery wasn't an option for me) so it wouldn't have been scary waking up with that kind of unexpected pain. On the positive side, I have not had any problems since. Just find yourself a good surgeon. Hope this helps.
    Anonymous 42,789 Replies
    • October 21, 2006
    • 09:37 PM
    • 0
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  • I was diagnosed with lichen schlerosis 1 1/2 years ago by my gyn. He sent me to a women's specialist to confirm, which he did. I have been using clobetesol twice a day since. It helps, but I found something better.freedermHC. A 4 oz jar was about 30.00 and it only takes a little. The doctor told me I would have to use the clobetesol at least twice weekly for the rest of my life, but I stopped using it 3 weeks ago and started using the freedermHC and my isn't gone yet, but is so much better. Mine is around my rectum and vagina and my rectum used to feel like it was going to split up my back. It is so much better.
    Anonymous 42,789 Replies
    • February 18, 2008
    • 07:09 PM
    • 0
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  • i had an anal fissure years ago and remember it as the worst pain i ever had and i have had heart attacls,cancer and 6 way bypass! was first diagbosed as a hemmroid after weekend of pain saw adifferent doc, had surgery and was fine immediately//good luck
    Anonymous 42,789 Replies
    • February 22, 2008
    • 01:01 AM
    • 0
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  • I had a serious anal fissure. I tried all the remedies and then ended up with have the lateral internal sphincterotomy operation. The Dr. Abbas of Kaiser Permanente is my hero for doing such a wonderful job. It was three years ago March 2 that I had my operation and after a short and practically pain-free recovery I have not had any pain since then. I had suffered for almost a year by the time I had the operation. I was desperate for relief. They first had me apply the various ointments. I'd recognize their names but can only remember nitroglycerin right now. The just didn't work for me. The operation sounds as though it doesn't make any sense. Your sphincter is in spasm and they put a cut in it which takes it out of spasm and that allows the anal fissure to heal. Go figure. I had some very minor leakage at first but that soon disappeared. For a while after the operation I took a stool softener every day and a teaspoon of Metamucil. I also had a breakfast every morning high in fiber. All-Bran or Raisin Bran are both good choices. That's all I've done for the last two years is the high-fiber breakfast. On occasion, if I eat a bit heavy on meats I might take a teaspoon of the Metamucil just to be safe. My bowels move every morning, almost without fail. Life is good again.
    Anonymous 42,789 Replies Flag this Response
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