Discussions By Condition: Anal/Rectal Conditions

Ongoing rectal pain 5+ months

Posted In: Anal/Rectal Conditions 26 Replies
  • Posted By: Anonymous
  • December 16, 2006
  • 05:30 AM

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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26 Replies:

  • I have a very similar problem for 2 years now. I have been told it is a fissure by one doctor. I have been on all kinds of topical meds and even had a botox shot for it and nothing has help. I believe that it is a deep abscess. I have pain everyday. Some days it is absolutely horrible. I take sitz baths, use ice packs and heating pad just for a little comfort. My life has totally changed because of this. I have told every dr. that one day last march in the midst of my pain I stooped down to fix my shoe while I was at the mall and a small discharge of liquid came out of my tush into my undies and every single bit of pain and pressure left. I could hardly believe that I was pain free and how wonderful it was. I left the store to get to my truck and call my husband to tell him that the pain was gone and by the time I got out there the pain had built back up from a 0 to a 10. To me this sounded like an abscess. I have yet to find a dr. who will agree with me and help me out.
    Anonymous 42,789 Replies
    • January 26, 2007
    • 11:49 PM
    • 0
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  • i had rectal cancer surgery sept. 05. dr.told me cramping i had would go away once they removed my temporary ostomy bag. when it continued i was told to eat more fruits and vegetables. my primary physician said to try metamucil. i found an article that mentioned taking valium to relax muscle cramping and i just picked up my prescription. iwill let you know if it works. in the meantime i take a hot bath and 2 advil which takes some of the edge off . ..
    Anonymous 42,789 Replies
    • February 7, 2007
    • 03:15 AM
    • 0
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  • Original poster here with an update.Christmas time with rectal pain wasn't fun, but with time off of work and get more rest I found my pain improving. By the end of Januray I really felt like I was healing and about 95% of the way back to normal with only mild discomfort occasionally.At that point I *finally* managed to get an appointment to see a Proctologist. I had a Sigmoidoscopy and Anoscopy performed which the doctor said revealed nothing. I wasn't as concerned because I had been feeling almost normal for a month and thought I was out of the woods. He said the remainng discomfort was probably related to mild external hemorroids.However, two weeks later the pain started again and is back to the previous level. I'm continuing to use Nifadipine ointment and Metamucil, Sitz baths, etc.It's very frustrating since I thought I was clear. It's made me short tempered at work, too. While applying my nifedipine I've found a small cut/lesion about 2 inches inside on the roof of my rectum (anterior?). It feels jagged and hard like an ulcer of some kind. My symptoms could also indicate a rectal ulcer I guess. I'm going to wait another 6 weeks and then try to see the proctologist again if situation continues. I regularly get mouth ulcers (no specific cause) so I'm familiar with the sensations and I would not rule it out at the opposite end of my digestive tract.Your problem does sound like an abscess, and I had a similar experience where after a particularly nasty and discoloured bowel movement I found my pain and swelling went down almost immediately. However, sadly it was also temporary. Even if you did have an abscess, they almost always recurr without surgery.I've also tried using Advil to take the edge off the pain. It doesn't help much but it's better than nothing. The nifedipine ointment (well, mostly the 5% lidocaine in it) also provides moderate pain relief since it's an anesthetic. Unfortunately applying it with my finger deep inside probably aggravates any healing since my pharmacy can't seem to make it into a tube with an applicator.
    Anonymous 42,789 Replies
    • February 10, 2007
    • 04:28 PM
    • 0
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  • i had rectal cancer surgery sept. 05. dr.told me cramping i had would go away once they removed my temporary ostomy bag. when it continued i was told to eat more fruits and vegetables. my primary physician said to try metamucil. i found an article that mentioned taking valium to relax muscle cramping and i just picked up my prescription. iwill let you know if it works. in the meantime i take a hot bath and 2 advil which takes some of the edge off . ..i have been using the valium/generic name diazepam and i seem to be doing better. i take one 5mg. tablet 3 times a day and i seldom need to take advil any longer.not only has it helped the cramping but i have stopped taking fiber capsules.i had also had problems with multiple bowel movements sometimes 10 or12 tiny ones accompanied with cramping and now that has also greatly improved.i have scheduled a colonoscopy for next month.hope this can be of some help to someone.
    Anonymous 42,789 Replies
    • February 18, 2007
    • 08:23 PM
    • 0
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  • Original poster here with an update.Christmas time with rectal pain wasn't fun, but with time off of work and get more rest I found my pain improving. By the end of Januray I really felt like I was healing and about 95% of the way back to normal with only mild discomfort occasionally.At that point I *finally* managed to get an appointment to see a Proctologist. I had a Sigmoidoscopy and Anoscopy performed which the doctor said revealed nothing. I wasn't as concerned because I had been feeling almost normal for a month and thought I was out of the woods. He said the remainng discomfort was probably related to mild external hemorroids.However, two weeks later the pain started again and is back to the previous level. I'm continuing to use Nifadipine ointment and Metamucil, Sitz baths, etc.It's very frustrating since I thought I was clear. It's made me short tempered at work, too. While applying my nifedipine I've found a small cut/lesion about 2 inches inside on the roof of my rectum (anterior?). It feels jagged and hard like an ulcer of some kind. My symptoms could also indicate a rectal ulcer I guess. I'm going to wait another 6 weeks and then try to see the proctologist again if situation continues. I regularly get mouth ulcers (no specific cause) so I'm familiar with the sensations and I would not rule it out at the opposite end of my digestive tract.Your problem does sound like an abscess, and I had a similar experience where after a particularly nasty and discoloured bowel movement I found my pain and swelling went down almost immediately. However, sadly it was also temporary. Even if you did have an abscess, they almost always recurr without surgery.I've also tried using Advil to take the edge off the pain. It doesn't help much but it's better than nothing. The nifedipine ointment (well, mostly the 5% lidocaine in it) also provides moderate pain relief since it's an anesthetic. Unfortunately applying it with my finger deep inside probably aggravates any healing since my pharmacy can't seem to make it into a tube with an applicator.There is a soap called Miracle Soap that does something to neutralize what ever the problem may be..check it out on Google.
    Anonymous 42,789 Replies Flag this Response
  • i have been using the valium/generic name diazepam and i seem to be doing better. i take one 5mg. tablet 3 times a day and i seldom need to take advil any longer.not only has it helped the cramping but i have stopped taking fiber capsules.i had also had problems with multiple bowel movements sometimes 10 or12 tiny ones accompanied with cramping and now that has also greatly improved.i have scheduled a colonoscopy for next month.hope this can be of some help to someone. YES, VALIUM HELPS!! I've got some sort of prolapse going on down there, only when I 'go', then I push it back in, but often then have pretty bad pain in my **s (pun intended) all day, especially since I have a sit-down job. Have been trying everything to self medicate this, dreading going to proctologist because I think I'll need prolapse surgery...but worse than that is the pain, when it hurts, nothing makes it better. The lidocaine/hydrocortisone the doc prescribed made my pain worse, too, (as another poster said), sitz baths make it worse, ice helps very temporarily (as soon as i take the ice off, it hurts again). I have found that valium (diazepam) DOES HELP. I take the tiniest bit (because I am very sensitive to drugs), I take a quarter of a 5 mg pill (that's 1.25 mgs!!) and it has helped tonight tremendously, I may have to take another dose, but anyway....valium is a muscle relaxant (among other things). If this is what I need to continue to take to make this better, then I will DO IT. I was interested and happy to see someone else found relief from similar symptoms from valium--the lesson here is that sometimes what helps is NOT what you would THINK...like the lidocaine etc etc...that only made it worse. And another thing--no doc suggested the valium, I came up with that on my own. Usually is the case!!
    TheBlueBowl 13 Replies Flag this Response
  • I have been in pain for 1 1/2 years. It took 6 mos. to diagnose me with Adenmyosis (much like Endo). I had sever pelvic pain, Xrays, MRI, ultra sounds, Ct scans...they found nothing. Anyway...I had a total hysterectomy Sept 2006, by Oct I was off the morphine patch that was semi controlling my pain. I was still feeling surgical discomfort and mild pelvic pain when I started having rectal pain. The OBGYN told me "You shouldn't be feeling that pain" (Well DUH!!!! ) "I needed to give it more time". In July I saw a partner OBGYN and she told me that it sounded like it was Chronic pain but she thought it should clear up. Confused I Went tomy Gastro Dr. He did a digital rectal exam and I was told I had a fissure (his words " a small tear inside"). He told me he was going to give me a cream and left the room. I was sure the man was not hearing me. I had constant life altering sever pain what was a creme going to do???. With depression and frustration I saw a GP and she listened. I started valium to relax muscles and hydrocortisone suppository for fissure. Diagnosis: Proctalgia and Levator ani syndrome. If this doesn't work..next stop Colon-Rectal Surgen. Atleast I again have some hope.
    Anonymous 42,789 Replies
    • September 25, 2007
    • 10:25 PM
    • 0
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  • About two months ago I began feeling a pain in my rectal area that was uncomfortable but bearable. My grandma had gotten into a bad car accident and I had been spending a lot of time at the hospital. I thought it was because of stress and sudden bad eating habits. One night I had a bowel movement that left me unable to move. I stayed up all night crying, but was too embarassed to tell anyone. Finally, I told my mom when the pain did not let up at all. She made an appointment with my general practitioner. She told me I had a hemerrhoid, prescribed some suppositories and stool softeners, then sent me home. Nothing she prescribed gave me any relief. After three days of endless calls to my doctor (who would not call me back until she realized I wasn't going to stop calling) I had an appointment with a specialist. The specialist said I had a "tender hemerrhoid" and sent me home with a cream. The pain seemed to start to ease up for a couple of days. However, the pain came back even worse than before. I went back to the "specialist" who turned out to be a general surgeon. He told me if I did not feel any better in a week he would schedule surgery. He didn't want to cut the hemerrhoid b/c he had seen plenty of them and it did not look thrombosed. That day I made an appointment with a colo-rectal surgeon. He took one look at me and said I had a thrombosed hemerrhoid that had ruptured and some infection. He scheduled surgery for the next day. After crying, worrying, and pooping (for the surgery) all night I went in for the surgery. After I woke up, I was told I had an abcess that had ruptured on its own and a fistula (which was an abnornal tunnel that had developed to drain the abcess). I also had two hemerrhoids which he did not touch because he said I would not be able to handle the pain. He said he didn't know how I could have stood the pain. He opened the fistula up, drained the infection, and left me with an open wound which he said would heal from the inside out. The pain and bleeding were uncomfortable, but I think the fear of having pain was worse than the actual pain. Mostly bowel movements hurt (but not as bad as before). After three weeks, I went back for a check up and it turns out my wound healed into a fissure. He prescribed the nifedipine/lidocaine ointment and said if I did not heal I may have to have surgery again. After a week I have experienced releif. However, I feel like I'm just waiting for the pain to come back. I now have a fissure and hemerrhoids and I pray that the fissure will heal and that the hemerrhoids will not bother me. These past two or three months have been a nightmare of pain. I feel ten times better than I did before the surgery, but still live in fear. I just wanted to share my experience b/c many of the stories sound familiar. Pain that persists and not knowing the source of that pain is extremly depressing. I am only 22 years old and have never felt so much pain in my life. I also have an anxiety disorder which I feel adds to these feelings. When I woke up from my surgery and was told what was wrong with me I had the worst panic attack in my life. I see my friends and boyfriend enjoying life and seeming to have no worries and just want to cry. You feel like you will never get better and that your whole life revolves around the pain. If your pain does not ease at all, keep bothering your doctor. Research doctors and find somebody you feel you can trust. Nobody should have to feel that bad, when there is a solution out there.
    Anonymous 42,789 Replies
    • November 23, 2007
    • 01:41 PM
    • 0
    Flag this Response
  • I experienced severe rectal pain for about 10 months several hours a day. Went to my Internist and two gastrointerologists. Had a colonoscopy. None were able to diagnosis my problem. Not sure they really took me seriously. They prescribed different creams and sent me on my way. A couple months ago I started a regimen of Miralax one day, and Exlax the next. Repeating each every other day. I've also been eating Sunsweet Gold Label pitted prunes every day, and Activia Light Fat Free yogurt several times per week. Of course, I eat other foods too. But adding these things into my diet seems to have done the trick. I have been pain free for almost two months. It makes such a difference NOT having rectal pain several hours each day. If you try it, I hope it works. If not, I hope you find something that will stop the pain.
    RectalPain 1 Replies Flag this Response
  • I am currently 20 years of age, at 18 every now and then I would get the odd blood on the tissue and a little bit of pain. As of right now though, Every time I go to the bathroom and pass, I have pain for hours afterwards, I never have pain beforehand, or cramps, though to be fair I seem to be always a bit constipated, so i dont know if that is the problem, but i cannot seem to relax enough for it to not hurt .. I live in fear of going to the bathroom because of the pain. I have not told anyone at all in my family, or friends about this because it seems to embarassing for me, as well as the fact I hate going to the doctors for anything at all.. I dont know what to do, It is just a constant throbbing pain, whether I am constipated and I struggle to pass anything, or it comes out with ease. I have a pain, I find, sitting in a specific position on a hard surface seems to help take the pain away, but due to the fact I work in a sitting environment.. I can not always find the comfortable position and perform my work. I take pain releivers but they do not seem to work at all, I have read through these posts and people are mentioning Valium, I will have to try that, I just want the pain to go away.. also from these posts, doctors dont even seem to know what the problem is.. I am actually currently in pain right now, which is what made me look for help yet again, and i stumbled on this forum.. It has been about 2 hours now.. no sign of relief, even with pain killers.. if anyone gets some sort of update, please post back, I will be checking regularly..
    Anonymous 42,789 Replies
    • January 16, 2010
    • 00:31 AM
    • 0
    Flag this Response
  • I am currently 20 years of age, at 18 every now and then I would get the odd blood on the tissue and a little bit of pain. As of right now though, Every time I go to the bathroom and pass, I have pain for hours afterwards, I never have pain beforehand, or cramps, though to be fair I seem to be always a bit constipated, so i dont know if that is the problem, but i cannot seem to relax enough for it to not hurt .. I live in fear of going to the bathroom because of the pain. I have not told anyone at all in my family, or friends about this because it seems to embarassing for me, as well as the fact I hate going to the doctors for anything at all.. I dont know what to do, It is just a constant throbbing pain, whether I am constipated and I struggle to pass anything, or it comes out with ease. I have a pain, I find, sitting in a specific position on a hard surface seems to help take the pain away, but due to the fact I work in a sitting environment.. I can not always find the comfortable position and perform my work. I take pain releivers but they do not seem to work at all, I have read through these posts and people are mentioning Valium, I will have to try that, I just want the pain to go away.. also from these posts, doctors dont even seem to know what the problem is.. I am actually currently in pain right now, which is what made me look for help yet again, and i stumbled on this forum.. It has been about 2 hours now.. no sign of relief, even with pain killers.. if anyone gets some sort of update, please post back, I will be checking regularly..please go to the docs as there may be something there that they can sort out for you. i had constipation early 2007 and like you i wouldn't go to the doctors as i thought it would pass. a few months later and after 1 night out i was in severe abdominal pain , so off i went to the hospital (hangover + pain + hospital don't mix ) and was admitted after a long wait to have an emergency operation for a perforated bowel. the next morning i woke up in agony to find i had been fitted with a colostomy bag. the surgeon told me that he removed a foot of my bowel which had been riddled with diverticolosis , which he said could have been treated before it got so bad as to burst my bowel. (i wouldn't have made it until morning without the operation)So please get over any embarrassments you have about the doctors or family and friends as i can tell you from experience that there is nothing i have found more embarrassing than having a colostomy bag that leaks, smells , and makes weird noises . i am sorted out now but for a year .i had firstly a colostomy bag then after a failed reversal an iliostomy bag , which i believe could have been avoided had i had a better diet and went too the doctors at the first sign off trouble. i hope you get sorted out soon robbie
    Anonymous 42,789 Replies Flag this Response
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  • HiI had this problem after a really bad bout of constipation during which, all joking aside , i passed something resembling a submarine. Through the internet i self diagnosed that i had torn a fissure down the side of my 1 pile. After about a month of this pain i started trying different things but what eventually worked was Dulcolax. This didnt happen immediatly but to begin with only eased it slightly. Take 2 before bedtime but make sure you are near a toilet during work the next morning. 1 at teatime and then 2 before bed again. It is normal to have a litte stomach cramp to the left just near the hip before you rush to the toilet. It took about a month of watery stools but started easing to the point where i take 1 dulcolax a day in the morning just to keep my stools soft. Take note that its your anus that should shape your stool and not the other was around. Good luck. This does work.
    Anonymous 42,789 Replies Flag this Response
  • Hi I had the same pains in the anus after passing stool. This is what i did after months of suffering. I tried loads of different stuff to sort it out but eventually settled on a little pill called Dulcolax to try and soften my stools thus limiting the amount of stretching during stool. The theory being that it is your anus that should shape the stool and not your stool that should shape your anus. I started taking the tablets 2 at a time before bedtime and then 1 in the morning just to keep me ticking over during the day. Be sure to be near a toilet at work the next day because as soon as you feel a slight cramping around your hip area then you are gonna blow. It didnt work straight away but you must keep it going. It took about 3 weeks to a month and i am at the point where i take 1 tablet a day to keep my stools soft. Do try it because it has worked for me and therefore should for other people. Good luck and let me know if it worked for you.
    catdubh 4 Replies Flag this Response
  • This might be because of IBD (UC or Chorns). i also faced the same problem and finally found in colon biopsy test that I had Ulcerative Colitis.
    Anonymous 42,789 Replies Flag this Response
  • i had rectal cancer surgery sept. 05. dr.told me cramping i had would go away once they removed my temporary ostomy bag. when it continued i was told to eat more fruits and vegetables. my primary physician said to try metamucil. i found an article that mentioned taking valium to relax muscle cramping and i just picked up my prescription. iwill let you know if it works. in the meantime i take a hot bath and 2 advil which takes some of the edge off . ..Had the cancer surgery 2005 and just recently stopped cramping. My Dr. put me on 10mg. of cyclobenzaprine at bedtime.This is a muscle relaxant used to treat muscle spasms... I had less cramping but still wasn't normal..so he added 25mg. of amitriptyline..which is an antidepressant that can also be used to treat chronic pain..some improvement but not cured..so then he told me to add miralax in the morning and fiber capsules...this has finally done it! Of course it's important to drink plenty of water with fiber or you can get very constipated..I was also told I could take 2 cyclobenzaprine if I was in a lot of pain but that it would knock me out...so no driving..I'm still taking my meds ..can't believe how much I can accomplish when not in pain. Just wanted to say don't give up ..I had cramping for 5 years and now I'm pain free.
    Anonymous 42,789 Replies Flag this Response
  • 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?you better make sure you dont have anal cancer and demand a colonoscopy or at least a anoscope with biopsy. So many patients symptoms are ignored with in fact they have typicvsal symptoms of anal cancer
    Anonymous 42,789 Replies
    • August 19, 2010
    • 09:24 PM
    • 0
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  • i don't have time for the long story that goes with thisbut i've had this same condition that you people have been discribingon these pages for 8 years now. the doctor told me there is nothing he can do for it andfor me to just quit eating meat and stop drinking milk,and eat high fiber food.for the rest of my life. like you all have said the pain is terrible.well i discovered on my own that by taking one teaspoon of mineral oil four times a dayi finaly got past the pain and eat meat and drink milk.i have been doing that for 8 years now and once in a while i will slack offthe oil and it lets me know.i hope this helps someone with this problem.you can get it at walmart in the laxitive section, it is always on the bottom shelf.it costs about $1.42 - $1.82 for a bottle, it is tastless and oderless
    Anonymous 42,789 Replies
    • November 30, 2010
    • 04:01 PM
    • 0
    Flag this Response
  • mAbout two months ago I began feeling a pain in my rectal area that was uncomfortable but bearable. My grandma had gotten into a bad car accident and I had been spending a lot of time at the hospital. I thought it was because of stress and sudden bad eating habits. One night I had a bowel movement that left me unable to move. I stayed up all night crying, but was too embarassed to tell anyone. Finally, I told my mom when the pain did not let up at all. She made an appointment with my general practitioner. She told me I had a hemerrhoid, prescribed some suppositories and stool softeners, then sent me home. Nothing she prescribed gave me any relief. After three days of endless calls to my doctor (who would not call me back until she realized I wasn't going to stop calling) I had an appointment with a specialist. The specialist said I had a "tender hemerrhoid" and sent me home with a cream. The pain seemed to start to ease up for a couple of days. However, the pain came back even worse than before. I went back to the "specialist" who turned out to be a general surgeon. He told me if I did not feel any better in a week he would schedule surgery. He didn't want to cut the hemerrhoid b/c he had seen plenty of them and it did not look thrombosed. That day I made an appointment with a colo-rectal surgeon. He took one look at me and said I had a thrombosed hemerrhoid that had ruptured and some infection. He scheduled surgery for the next day. After crying, worrying, and pooping (for the surgery) all night I went in for the surgery. After I woke up, I was told I had an abcess that had ruptured on its own and a fistula (which was an abnornal tunnel that had developed to drain the abcess). I also had two hemerrhoids which he did not touch because he said I would not be able to handle the pain. He said he didn't know how I could have stood the pain. He opened the fistula up, drained the infection, and left me with an open wound which he said would heal from the inside out. The pain and bleeding were uncomfortable, but I think the fear of having pain was worse than the actual pain. Mostly bowel movements hurt (but not as bad as before). After three weeks, I went back for a check up and it turns out my wound healed into a fissure. He prescribed the nifedipine/lidocaine ointment and said if I did not heal I may have to have surgery again. After a week I have experienced releif. However, I feel like I'm just waiting for the pain to come back. I now have a fissure and hemerrhoids and I pray that the fissure will heal and that the hemerrhoids will not bother me. These past two or three months have been a nightmare of pain. I feel ten times better than I did before the surgery, but still live in fear. I just wanted to share my experience b/c many of the stories sound familiar. Pain that persists and not knowing the source of that pain is extremly depressing. I am only 22 years old and have never felt so much pain in my life. I also have an anxiety disorder which I feel adds to these feelings. When I woke up from my surgery and was told what was wrong with me I had the worst panic attack in my life. I see my friends and boyfriend enjoying life and seeming to have no worries and just want to cry. You feel like you will never get better and that your whole life revolves around the pain. If your pain does not ease at all, keep bothering your doctor. Research doctors and find somebody you feel you can trust. Nobody should have to feel that bad, when there is a solution out there.I am a 42 yr old female,have been dealing with fissures and hemorroids for ?about 5-6yrs;originally had intense lower abdominal pain/cramping,sometimes during or after bowel movement,sometimes random:excruciating pain,could not even move.doctor visit said constipated,xrays showed bowels FULL of stool.tried to change diet,stool softeners,laxatives,etc.ended up with blood in stool,even worse pain and burning all day after BM,went to dr.again,now i had hemorroids.put me on hydrocortizone suppositories,3 times a day;pain became much worse,kept bleeding massively with each BM,burning pain inside all the time,unbearable.went to ER,they said bad hemo's,go get surgery.gave me vicodin and preparation H,sent me on my way. i was trying to schedule surgery but was told 1-2 months to wait(i had been off work over a month by this time) one day as i was trying to refill the vicodin so i could try to go back to work,i was required to get an OK from a doctor,who ended up being an anal surgeon.i was at the end of my limit and told him i was not letting him spread my cheeks to prove what 3 dr's had told me already;he said give me 5 minutes and answer 3 questions...i said ok,and discovered i had an anal fissure as well as internal and external hemorroids,and that the fissure was causing the constant burning pain,and every BM made it all worse as my stools were still not soft enough to pass easily,and the internals would pop out and become trapped and cause more pain!!!it was a very very long nightmare,and i feel for all of you who have posted here;i never knew i was not the only one going thru this.the good news;my hemo's vanished by the time i made it to the anal surgeon,and the nifedipine ointment seemed the least irritating to my bottom overall,and most beneficial to the tear.tho it was many months til i felt "better",and after everything healed for the most part,i ended up with rectal prolapse,stage 3(it still goes back in with help)tho the other issues seemed mostly resolved.Recently i went on vacation to the ocean for 4 days,came back FULL BLOWN internal/external hemo's,HUGE,bloody painful to the point i almost went to ER,tho knew from history it was most likely useless and they would screw me up more than i already was:plus had no insurance,since lost job last year :( after reading these and other posts,i decided to try the hydrocortizone suppositories 2x daily,with cream externally 2-3x daily,and witch hazel pads(tucks are great)for the burning in between doses.BUT!! i also took witch hazel capsules 3x daily(to stop internal bleeding)and horse chestnut capsules 3x daily(to strengthen vein walls),and ginger capsules 1 per day(aids digestion).i began that regimen almost 3 weeks ago,and the size of all hemo's has reduced 70% or more,bleeding stopped 4 days ago at BM time,and fissure seems reduced in thickness(scar tissue?)i did use nifedipine 1x in morning after BM,and then the hydrocortizone a little bit later.also,lidocaine topically works for some to take the initial severe pain edge off,but i found that after alot of use,it seemed to burn after it wears off,so use sparingly. i have never posted anything,nor blogged.i text my children,thats about it.but i hope you will all check out the herbal side of it,i truly think it has helped dramatically reduce this episode versus the "FIRST" time,many years ago.i was also suggested collinsonia root as a possibly better source than the witch hazel,as its not easy to find supplements,but have not tried it yet,tho i have some on order!! GOD BLESS ALL OF YOU!!and sorry this was so long,but i thought if i could help one person,it would be worth it to try to tell my story,at least the"I FEEL MUCH BETTER AND THIS IS WHAT I DID"part!! ps:keep BM SOFT&FLUFFY as possible for BEST RESULTS :) thanks for reading,good luck to us all,and DONT GIVE UP:you'll get there,eventually xoxo
    Anonymous 42,789 Replies
    • February 13, 2011
    • 09:43 AM
    • 0
    Flag this Response
  • Hey folks, i've been dealing with this for about 6 months now with some progress. I'm picking up the Lidocaine cream this afternoon & have been using the Witch Hazel wipes, vaseline, & Nitroglycerin Cream. Along with various muscle relaxers & pain pills. For those with issues using the creams without an applicator i'de suggest a simple cotton swab. I have been using them for a bout 2 months now and they work great.This site has also been great help.
    Anonymous 42,789 Replies Flag this Response
  • I have read what all of you have been going through, and I sympathize, I have Ongoing rectal pain for a while now, very very painful. I am 51 and about 30 years ago I was bleeding pretty bad ( red ) from my rectum. My family doctor touched my rectum, and blood squirted at him. So immediately he schedules surgery. Tells me i am bleeding from a main artery. I have the surgery, and after a little bit of time the pain didn't go away. Went back to doctors to find out i had to go back in, that the tunnel ( not exactly sure the words that were used back then) was blocked. Pain got better and so did I. For years I always complained about running stool and pains, had a few colonoscopies. They told me I had IBS (Irriatable bowel syndrome ) So I watch what I eat and still complain to doctors. 2005 i was admitted into hospital for abdominal pain , later to find out I have Crohns Disease. Now what is happening I have complained about rectal bleeding sometimes a lot, and sometimes just a little on toilet paper. Was told Hemeroid. So now the pain is unbearable sometimes, especially during bowel movement, and for hours afterwards. Find the perp H just makes it worse. My rectum is so painful i couldn't even put the cream there myself feels like blockage,I try not to strain when i have to go, i have loose stool do to the fact that i have had bowel surgery a few years ago. I am telling you this is hopes that someone can give me some advise. I can't sit for long periods of time, if i can i have to move to a position where its more comfortable. I have had a little relief from having a bladder infection and put on antibiotics so i didn't have a bowel movement for whole day. So that was a good day . Even with being on antibiotics right now for the infection, I am still having the pain. Now after hours after a bowel movement i might get some relief, but even sitting after its been feeling well, can set it off again. I don't know what to do, I am afraid to let the doctor look at it, because of the pain. I am so afraid of ever having that type of surgery again. Most painful thing i have ever been through.Any ideas Just reaching out there.
    Anonymous 42,789 Replies Flag this Response
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