I started with pain and throbbing/muscle spasms for up to 2 hours after a bowel movement. When it didn't clear up for a week I went to a clinic. They suggested anal fissures and put me on some corticosteroid cream. I used this for awhile and did some research on the condition. It seemed to fit... however after several more weeks the pain was still the same.
I went back to the clinic several times and in the mean time started my own regiment of Metamucil, low fat, no cafeeine or alcohol, lots of water, etc. Eventually I was referred to a surgeon. He performed a digital exam but didn't see anything. He still suggested I have a lateral sphinctorotomy but I eventually declined since I wasn't too sure if this was indeed my condition.
I have since asked for an anoscopy or sigmoidoscopy to confirm it's a fissure.
However he is referring me to a proctologist with the warning that it may take months to see one. The surgeon put me on the famed 0.2% nifedipine + 5% lidocaine cream that normally works wonders for fissures. It's been 1.5 months of using the cream 3 or more times per day while continuing my regiment and if anything the pain is WORSE. It's now constant, and much worse when sitting or lying down on my back. I sleep on my side and avoid sitting when I can but the pain doesn't seem to be improving. The lidocaine doesn't seem to offer any relief, and the pain feels like it is deeper inside than I can apply the cream.
I'm starting to question if this is in fact a fissure or something else. My very first time to the clinic after a week I asked about a rectal abscess but was told it's rare and most unlikely, but now I begin to wonder as the condition worsens with time and medication instead of improving.
I find myself a lot more flatulent in the last few months but concluded this may be because of the nifedipine ointment. I have also on occasion notice some abnormalities using the washroom... but not often.
Two or three times in the last 5 months I've noticed dark green in my stool. My reading indicates this may or may not be anything to worry about. I've also found on a different two or three occasions a black gummy substance on the toilet paper when I wipe. Is it possible these are both pus from an abscess? What's the normal timeline for an abscess to reach critical mass?
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