Discussions By Condition: Medical Stories

Anal pain

Posted In: Medical Stories 19 Replies
  • Posted By: Tictoc
  • July 25, 2009
  • 07:45 AM


It's been a terrible year for me. I have this pain so went to a specialist. He did tests but really was just covering his bases without resolving the pain issue. A little info about me; I am a man in my mid 40s. I'm over weight (240 pounds) which may have something to do with the issue.
Fact is, I've now had a MRI and a Colonoscopy. No serious findings other than inflamed internal hemorrhoids. The doctor (a proctologist) has not been helpful, other than to run these tests. He now gives me an attitude that I'm not feeling a serious pain and it's all in my head. He suggested I go to a pain clinic since there is nothing physically wrong with me according to him. He says my internal hemorrhoids will not cause pain. I'm curious what others thing about that? Can internal hemorrhoids cause pain when sitting? I have no or very little pain when standing but have a nagging pain when sitting (like when driving). This nagging pain is a serious pain to the point where sometime I can't drive more than 15 minutes without pulling over to walk. I have trouble sitting through meetings at work. It has become a serious issue for me. Not only for my personal life but for my career. The specialist that I've been going to now seems to think all is well even though I told him I'm in pain. He can't find anything wrong and does not believe the hemorrhoids are causing the pain however he says he will ruberband them in a series of steps only if I want but says that is not the cause of my pain, only the cause of my bleeding.
So now I'm very frustrated. I've had all these tests and my doctor found nothing. It's hard enough to go into a doctor complaining of rectal pain and now the doctor is making it seem like I must be a total moron to believe I'm having anal pain or maybe he just is implying I'm a wimp because I can't deal with a little pain.
The fact is, this pain has become prevalent in my day to day life now. It has only gotten worse. I am suppose to drive our motor home to Yellowstone next month and I am really dreading it. I fear it. It's one thing to sit on a couch and be able to get up and walk around but it's another thing to drive where I cannot get up every few minutes, It's seriously painful. I was in serious pain today driving just 20 miles. I have to drive 1900 miles in a few weeks.
Is there any remedy? What are your thoughts? I've tries all the over-the-counter stuff and it doesn't so **** for the pain. Please help!

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19 Replies:

  • The best advice i can give you is to switch doctors clearly your doctor isnt trying to help you...you would be better off finding a different doctor...it sounds like your hemorrhoids is causing your pain...you know your body that doctor don't know what he's talking about...change doctors.
    Anonymous 42,789 Replies Flag this Response
  • Ask your doctor about anal muscle spasms. They sure can cause pain.
    Anonymous 42,789 Replies Flag this Response
  • I'll tell you, this is the most dehabilitating pain I've ever expereiced. It's gotten worse and is constant. About ready to put a gun to my head and pull the trigger.
    Tictoc 10 Replies Flag this Response
  • I'll tell you, this is the most dehabilitating pain I've ever expereiced. It's gotten worse and is constant. About ready to put a gun to my head and pull the trigger. Well, I saw another doctor today. He found a "Fissure". I asked him why the other doctor didn't find it and he said "Not sure" but said I most definitely have a fissure and is chronic as it doesn't look like it will heal on it's own so needs surgery. I'm scheduled for surgery this Friday. I'm still scratching my head over this one. Why would the other doctor have misdiagnosed the issue when it's so clear to this other doctor?
    Tictoc 10 Replies Flag this Response
  • Poor you, I totally understand, it has a huge impact on your life. My story is long and has been on bbc news so I am trying to help others but basically I had piles which were banded and an anal skin tag. I went to have my skin tag sorted, a polish surgeon did the wrong op..a haemorroidectomy and very badly..ive had 11 ops and ive just lost my colon..im 34 yrs old. What an idiot your doc is if he says internal piles dont hurt, of course they do..can tell he has never had them. I was even told at one point it was all in my head. Go back and get a second opinion you needed suffer in silence. This makes me so angry when they leave people to suffer, and then make you feel like a fool. Im still having health issues without my colon and have had piles since, I had an argument with my gp last week and called him patronising as they just dont get it. If you have internal piles, they should be injecting them which is simple I had mine done with no anisectic when I was pregnant 10 yrs ago, Ive had it done few times since, only lasts about 6 months but will help short term, the next step would be banding. If you are sore anally buy a cream called Cavilon, i have had every cream going but cavilon was given to me when I had my colon removed & I wish I knew of it before. Get back to your GP and insist they do something, its so hard when you have to fight your own corner but unfortunately it seems common in this day and age with these part time doctors
    crunchiejoe 61 Replies Flag this Response
  • I ended up with a chronic anal fissure that needed a skin graft after my botched op and I have been misdiagnosed numerous times. It hurts like ***l, the fissure not the op. Are they doing a skin graft for yours??? It will help the pain alot, a fissure feels like someone is constanting poking a stick in an open wound...im so glad they are doing something for you. Never be put off, trust your instincts, GP's get it wrong and it seems alot from my own experience and what Ive heard.
    crunchiejoe 61 Replies Flag this Response
  • Wow, what a horrible situation you have been in. That's terrible. Thanks for your advice. One question about Cavilon. There are so many products listed under that name. Can tell me exactly what to buy? Thanks and good luck to you. Poor you, I totally understand, it has a huge impact on your life. My story is long and has been on bbc news so I am trying to help others but basically I had piles which were banded and an anal skin tag. I went to have my skin tag sorted, a polish surgeon did the wrong op..a haemorroidectomy and very badly..ive had 11 ops and ive just lost my colon..im 34 yrs old. What an idiot your doc is if he says internal piles dont hurt, of course they do..can tell he has never had them. I was even told at one point it was all in my head. Go back and get a second opinion you needed suffer in silence. This makes me so angry when they leave people to suffer, and then make you feel like a fool. Im still having health issues without my colon and have had piles since, I had an argument with my gp last week and called him patronising as they just dont get it. If you have internal piles, they should be injecting them which is simple I had mine done with no anisectic when I was pregnant 10 yrs ago, Ive had it done few times since, only lasts about 6 months but will help short term, the next step would be banding. If you are sore anally buy a cream called Cavilon, i have had every cream going but cavilon was given to me when I had my colon removed & I wish I knew of it before. Get back to your GP and insist they do something, its so hard when you have to fight your own corner but unfortunately it seems common in this day and age with these part time doctors
    Tictoc 10 Replies Flag this Response
  • Hi, The product you need is Cavilon 3391E barrier cream 28g but they do smaller tubes too. Use it every time you have a bm or even before you go to work etc, it is the only product I have ever found to soothe, Ive had all the anusol and even steroid based creams...this is by far the best. If it works see your gp and get a 28g tube on prescription prob cheaper that way. Hope everything goes ok
    crunchiejoe 61 Replies Flag this Response
  • Thanks. I can't find that exact number here in the US. I find two that seem mthey may be the same. Which one do you think is the best? This one or this one. They both look the same but one mentions Dimethione and the other doesn't. Thanks! Hi, The product you need is Cavilon 3391E barrier cream 28g but they do smaller tubes too. Use it every time you have a bm or even before you go to work etc, it is the only product I have ever found to soothe, Ive had all the anusol and even steroid based creams...this is by far the best. If it works see your gp and get a 28g tube on prescription prob cheaper that way. Hope everything goes ok
    Tictoc 10 Replies Flag this Response
  • I ended up with a chronic anal fissure that needed a skin graft after my botched op and I have been misdiagnosed numerous times. It hurts like ***l, the fissure not the op. Are they doing a skin graft for yours??? It will help the pain alot, a fissure feels like someone is constanting poking a stick in an open wound...im so glad they are doing something for you. Never be put off, trust your instincts, GP's get it wrong and it seems alot from my own experience and what Ive heard. I had the surgery done today. The surgeon did not do a skin graph. He did a LIS in addition to cauterizing the fissure. He said cauterizing the fissure will help it not rip any further and promote healing. He didn't do anything to the hemorrhoids stating that he can band them in a month or two opting to not complicate the LIS surgery, i.e., he wanted to do this one step at a time. I am in pain but not as much as I thought there would be. I am on Oxycodone 5/325 x 2 every 3 to 4 hours so that might be why it's not as bad as I thought it would be BUT I was on Oxycodone 5/500 for the last week before and that only helped a little with the anal pain (basically only putting me in a talkative mood). In any case, I think it premature to say whether or not this surgery worked. I will post in a week to give an update here if anyone is interested in how the surgery worked.Thanks to every one for the replies and special thanks to crunchiejoe!
    Tictoc 10 Replies Flag this Response
  • After all I have been through, its nice to hear a surgeon is taking it one step at a time but banding isnt a big deal, ive had it done several times, the main thing is getting the fissure to heal, if it doesnt heal he may offer you a left or right lateral spinctectomy....dont have it whatever you do...I had mine done after the first botched op & every surgeon Ive seen since has said its the worst thing they could of done. They cut through the muscle to promote healing but it can leave you more prone to incontience where I am now..you cant repair muscle once its cut so hopefully yours will heal, your very lucky not to have infections, I was on antibiotics every month with my fissure. This sounds a little gross but its good to know if while healing the smell is fishy its an fungal infection. Once you are healed maybe then they will tackle the haemorroid issue as thats horrible to live with too, its not like an arm thats sore that you can put in a sling, its with you every minute of every day, try and keep your legs up while you are healing. Im def interested you get the right treatment, I refuse to let anyone suffer like I did, I could write a book on constipation, haemorroids, bowels and colons lol. Rest Up
    crunchiejoe 61 Replies Flag this Response
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  • Well, that what I had is a lateral internal sphincterotomy (LIS) plus he cauterized the fissure. I read about it before agreeing to the surgery. Seems as long as the doctor doesn't cut too deep it won't leave you incontinent. The positive side is nearly 95% of patients heal and never have a Fissure again. I made sure what my doctor's thoughts on that was before preceding with the surgery. He said he has done it 1000s of times and never once has one of his patients been left with long term incontinence. He said for the first month or two at most there may be brown on my shorts (and blood too for the first 1 to 2 weeks) but that will go away after a few months if it happens at all. He said in my case, he wasn't going to cut as deep as some other patients of his since he didn't feel it was necessary to go deep on mine and because I was concerned about it. He did tell me that the success rate of fixing the pain and spasms of the fissure goes down the less deep he cuts. So time will tell. I really like this new doctor. He takes time to discuss things and even when I don't know the questions to ask, he seems to make me aware of potential issues. My last doctor was horrible. It amazes me that the last doctor missed the diagnoses of the fissure. In any case, I wish you well and hope things go better for you in the future. I appreciate you information. After all I have been through, its nice to hear a surgeon is taking it one step at a time but banding isnt a big deal, ive had it done several times, the main thing is getting the fissure to heal, if it doesnt heal he may offer you a left or right lateral spinctectomy....dont have it whatever you do...I had mine done after the first botched op & every surgeon Ive seen since has said its the worst thing they could of done. They cut through the muscle to promote healing but it can leave you more prone to incontience where I am now..you cant repair muscle once its cut so hopefully yours will heal, your very lucky not to have infections, I was on antibiotics every month with my fissure. This sounds a little gross but its good to know if while healing the smell is fishy its an fungal infection. Once you are healed maybe then they will tackle the haemorroid issue as thats horrible to live with too, its not like an arm thats sore that you can put in a sling, its with you every minute of every day, try and keep your legs up while you are healing. Im def interested you get the right treatment, I refuse to let anyone suffer like I did, I could write a book on constipation, haemorroids, bowels and colons lol. Rest Up
    Tictoc 10 Replies Flag this Response
  • He does sound like a decent surgeon, I did lots of researching on it after all my stuff went wrong & it isnt recommended anymore, I think there are better things they can do now time has moved on, but if he didnt go too deep thats a blessing, I was offered another one while I was ill, I refused it & im so glad I did. My surgeon told me about a 21 yr old girl who had been sent to him to sort out after she had been given 3!! how mad is that, poor thing. My LLS did nothing for me, didnt help my healing at all but I had that before I had my skin graft. Also cauterizing is a better form of cutting than the good old knife! I wish you a speedy recovery so you can get onto the next stage & get the life back you should be having.:)
    crunchiejoe 61 Replies Flag this Response
  • Yeah, I can understand this could have complications. Actually did some research earlier this week and it sounds to me that Botox injection would have been a better way to go but I couldn't find a doctor that would do that in my health care insurance network (within a 100 miles anyway). Also the channel blockers seem like it was worth a try but my doctor said my fissure was definitely chronic and had a bunch of scare tissue built up (as it was ripped open time and time again from BMs) so channel blockers only would relieve the symptoms but not cure the problem so I went with the LIS. I hope I don't regret it. It still hurts but I haven't had any muscle spasms since the surgery and that was the most painful part of it I think. I'm hoping that the pain will be gone by the time I go on my 1900 mile trip to Yellowstone National Park on the 24th of this month. I tell you that there would have been no way I could have driven that in a two week period if I was in the original condition I was in. This trip has been planned for more than a year and It would be a huge disappointment to family and friends if I couldn't drive as I would have had to cancel. I will be driving 1 of 3 motorhomes. I'm keeping my figures crossed that I will be able to make the trip now. Thanks, :) Tictoc He does sound like a decent surgeon, I did lots of researching on it after all my stuff went wrong & it isnt recommended anymore, I think there are better things they can do now time has moved on, but if he didnt go too deep thats a blessing, I was offered another one while I was ill, I refused it & im so glad I did. My surgeon told me about a 21 yr old girl who had been sent to him to sort out after she had been given 3!! how mad is that, poor thing. My LLS did nothing for me, didnt help my healing at all but I had that before I had my skin graft. Also cauterizing is a better form of cutting than the good old knife! I wish you a speedy recovery so you can get onto the next stage & get the life back you should be having.:)
    Tictoc 10 Replies Flag this Response
  • Fingers crossed...Mad that your GP missed it but im so not surprised. Trouble is once you start to feel a little better, you're so overwhelmed by feeling like you can do stuff, you then go and overdo it. Ive done it numerous times..and sure il do it again lol. When I had my colon out, after a week in hospital I wanted to come home, what I didnt realise was I wasnt even able to walk, my energy had all gone and i was breathless doing nothing, I spent 3 weeks in a wheelchair!! For some reason I thought id be fine?? have no idea why, I was just pleased not to be bloated and feeling sick, I then needed 24 hour care at home. I never thought Id get better, it really knocked me for six, but im getting there now. I hope they sort all your probs out
    crunchiejoe 61 Replies Flag this Response
  • Crunchiejoe, I can't figure out how to private message you here. If you'd like to continue a discussion on this, please email me at sam*dot*tahitian at gmail *dot* com. (written that way to avoid spam). Thanks! Tictoc
    Tictoc 10 Replies Flag this Response
  • Update:It's now 10 days post-op and I'm feeling very good. A little pain at times but nothing compared to the pain I was having before the surgery. I had a follow-up with my surgeon today and all is well. I still am having some bleeding but the doctor said that's to be expected. As far as incontinence due to the Lateral Internal Sphincterotomy (LIS) surgery, I do have more leakage but the only result of that is marks on my shorts. This has happened every day since the surgery so far. I've had no issue other than that and I consider that very minor. So far, overall I am VERY happy with the results.
    Tictoc 10 Replies
    • August 18, 2009
    • 00:45 AM
    • 0
    Flag this Response
  • Update:It's now 10 days post-op and I'm feeling very good. A little pain at times but nothing compared to the pain I was having before the surgery. I had a follow-up with my surgeon today and all is well. I still am having some bleeding but the doctor said that's to be expected. As far as incontinence due to the Lateral Internal Sphincterotomy (LIS) surgery, I do have more leakage but the only result of that is marks on my shorts. This has happened every day since the surgery so far. I've had no issue other than that and I consider that very minor. So far, overall I am VERY happy with the results. I am really happy for you, I was going to email but ive been poorly myself. Its early days so its possible the leakage could subside. And yes I totally agree compared to how ill you were, and the pain..leakage is minor.:)
    crunchiejoe 61 Replies
    • August 18, 2009
    • 08:22 AM
    • 0
    Flag this Response
  • Update at 11 weeks post Op! Likely my last post regarding this issue? My trip to Yellowstone that I took just 16 days after the surgery was great! I had no pain issues driving the entire 1900 miles round trip over the two week period. If anyone would like to see pictures of Yellowstone, let me know. I am occasionally having some discomfort for the day when I have had to pass hard stole in the morning but that doesn't happen often and is relatively mild pain. There has been no bleeding in at least 3 weeks. It's now very clear to me that having the surgery was the correct decision. I thank my Doctor for doing a good job. There is always the concern of a relapse of the condition but am hopeful that won't happen. I wish everyone else health and that they find solutions to thier medical issues. It's hard when a doctor diagnoses the issue wrong like what happened in my case initally. My suggestion is to get second and third opinions from other doctors. In my case, that worked. Best regards!
    Tictoc 10 Replies
    • October 14, 2009
    • 01:17 AM
    • 0
    Flag this Response
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