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?
Recognize the risks associated with Crohn’s disease.
Did you know that one in six US adults has high cholesterol?