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I have had Crohn's for 11 years an am having a colonoscopy next week and the colorectal surgeon would like to a sphincterotomy and a fissurectomy. I have been having the same problem with the same fissure for a couple years now with bleeding and being super sore so the surgeon would like to remove my fissure. I have a really small anus and always have tons of trouble with constipation so he would also like to do a spincteromoty as well. My anus is so small and sensitive that the gastro doctor or any other doctor cannot examine me in the office but have to put me under to examine me. I am hesitiant about the spincterotomy and cutting that muscle..I am only 22 years old and I don't know if down the road I will have trouble controlling myself and have to get a colostomy bag because of it..

Has anyone had a sphincterotomy or a fissurectomy?? What the the recovery like? I have to return to work 4 days later and have a very physical job..would there be any problem going back to work and having normal bowl movements?

Any advice or info would be so helpful! Thanks!

Reply posted for suzanne.

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Reply posted for suzanne.

There are many things you can do to help aid in your recovery:

• Get plenty of rest.
• Try to walk a little each day.
• Follow your doctor’s instructions as to when you can drive again.
• Shower or bathe as normal, but pat your anal area dry afterward.
• Drink plenty of fluids.
• Eat a high-fiber diet.
• If you are struggling with constipation, ask your doctor about taking a mild laxative or stool softener Duck Life
• Take your pain medications exactly as described.
• Sit in around 10 centimeters of warm water three times daily and following bowel movements until the pain in your anal area subsides.
• When attempting to move your bowels, use a small step to support your feet. This will flex your hips and place your pelvis in a squatting position, which can help you to pass a stool more easily.
• Using baby wipes instead of toilet paper is often more comfortable and doesn’t irritate the anus.
• Avoid using fragranced soaps.

 Reply posted for Suzanne.

oh and i have never had problems controlling my bowel movements after the surgeries. the cutting does not cause that, but if you find that you want to be extra careful you can do kegal exercise's

i have never had a fissurectomy, but i have had dilatations where they do some cutting down there. there is a little bit of pain after the surgery, but they just give you pain meds and then it goes away fast. i am usually up and feeling fine the next day unless i am running a fever. i get fevers afterwards sometimes because of the inflammation, ulcers that surround that area. its just that they are messing with an area that is very sensitive and diseased. i have had many of these surgeries. i have spent lots of time trying to go to the bathroom with little result, it is very frustrating. ive been dealing with this for about three years. spending this long period of time dealing with this issue has been so exhausting for me, my stricture always reforms within about four months. i have thought about ostomy surgery so much, ive been thinking about it for a year and know it is my only option to live a normal life. so with all that i have dealt with i am ready to have the surgery. i have found support from these online support groups on facebook:

full frontal ostomy
uncover ostomy
ucvlog
lets talk ibd

if you havent seen these support groups i highly recommend them