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Suffering through Chronic Fissure
"I have been suffering from a chronic fissure for the past five years. As a college student I have already undergone two surgeries for this condition, but I am still not experiencing relief. My primary concern is that my bowels do not clear completely in the morning, and I am in a significant amount of pain.I need to go atleast three times in morning and one time in night.Still not complete bowels.Bowels come after eating something.I am taking stool softners,tablets still no result.My Age is just 22 years. Could you please provide your contact information so I can contact with you regarding my condition?"
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If the fissure didnt resolve even after 2 surgeries ,then its not a Normal fissure ..
U may be having some different underlying contion which is presenting as one of the symtpoms as fissure..
It may be Crons or IBD or others..
U need detailed evaluation.
Next Steps
Kindly consult a Gastroenterologist for further evalutation of ur colon ..
With adequated sedation they will do ur colonoscopy +/_ biopsy and evalutate ur condition.
Until then continue with ur laxatives
local Lignocaine 2% gel application
Diltiazem 2% gel (CCB)
Sitz bath in Povidine
For further details u can consult me on Practo
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A chronic fissure persisting for 5 years with two failed surgeries at age 22 is a red flag â this pattern strongly suggests an underlying condition like Crohn's disease, which causes non-healing refractory fissures that don't respond to standard surgery. The fragmented incomplete stools with pain also suggest possible dyssynergic defecation (pelvic floor dysfunction), which requires biofeedback therapy, not just stool softeners.
Next Steps
Please see a gastroenterologist for a colonoscopy to rule out Crohn's disease and anorectal manometry for pelvic floor assessment. Feel free to consult me directly on Practo for a detailed evaluation.
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