Pain 3 months after fissure/fistula surgery

[mrjsse]

I had surgery for a fissure, fistula, and 3 hemmoroids about 3 months ago.  I am still in a lot of pain.  The pain comes on about 1 hour after a bowl movement.  In fact, I was in very little pain prior to the surgery.  Now, I am in a lot more pain than I was ever in.  I can't do any exercise without pain.  It's a burning, aching pain.  The doctor told me I would be able to exercise within 2 weeks and be completely healed within 1 month.  This has not been accurate at all.  In fact, I don't think I am getting any better.  Has anyone had a similar experience?  What should I do?  Thank you for any help.

[mrjsse]

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[kef]

It is now almost a year since I had strikenly similiar surgery.  The surgeon did not explain what to expect any where near what I am experiencing.  I could not leave the house for eight weeks after surgery as the pain was too much, and the bowel movements too numerous.

I am now seeing a gasterolentropenlogist (spelled something like that).  She has told me that any surgery in the large bowel, or anywhere in our digestive system, causes a major disruption on our digestive and excretion processes.  In addition, sugurcial repair of fissures and fistulas damage the nerves and fundamentally change the excretion process.  I am told to expect to never have a smooth bowel movement, nor a pain free bowel movement.

We are exploring alternatives.  There are experts in this area at the Cleveland Clinic and the Mayo Clinic.  I am researching this as is my new doctor.

FYI - I have found that prescription pain pills or a muscle relaxer (I have a bad back from an auto accident) seem to reduce not only the pain level but the amount and severity of the almost constant twitching and convulsing of the muscles in my lower bowels.  When those muscles are quiet, then things are much better.

Also I have found that I have to fundamentally change how and what I eat.  I can no longer tolerate anything with fiber or ruffage.  So whole grains and vegetables are out.  I can not toleate anything like nuts, potato chips, taco chips, etc.  Anything with high acidity or "hot" spices are out.  I am told now that this is very common for those of us who have had these kinds of surgeries.

Make sure that your doctors are ruling out all of those illness which can kill you.  These illness include cancer, colitis, chrons and other diseases which could have caused the fistulas and fissures in the first place.  Once those are ruled out, you can concentrate on leaning how to adapt your body and food consumption to reduce the problems we are both having.  Unfortunately, I am convinced we can not eliminate it.

[docekam]

I had hemorrhoidectomy,fissurectomy & sphinteroplasty 6 weeks ago, where the doctor removed three packets of piles (at 3,6 and 11 o'clock). The fissure was remove at the pile at 6 o'clock and a sphinteroplasty was performed at 6 o'clock. I still get severe pain & bleedin at passing motion and the pain lasts for about two hours after passing motion. My doctor says the cuts are overhealing and keeps applying silver nitrate on a weekly basis. He has done this twice & will try once again next week. He says if the wound does not close, he will need perform another surgical procedure.

I am not sure if he has done something wrong & does not want to tell me. I am so stressed and do not want to undergo another surgery.

Before the surery I was not in such pain, now I have been in severe pain for 6 weeks and keep taking painkillers.

Please tell me your views.

Thanking you in anticipation