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AND YET another diagnosis...Anal Fistula AND YET another diagnosis...Anal Fistula

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Unread 04-07-2003, 01:40 PM
AND YET another diagnosis...Anal Fistula

Hello sisters

I know I have done nothing but come here to vent, complain and find shoulders to cry on and have not helped ANYONE lately. I am so sorry!!!

I am finally able to sit down to post this after almost 4 hours since my appt with my general surgeon for my hemerroids. This has been a HORRIBLE day, so here I go looking for a shoulder once again..:cry:

I had to drive 45 minutes to see the surgeon to get him to check out the wonderful ROIDS and give him my Uro's # to set up surgery at the same time as my repairs and sling procedure.

I have alot of skin tags that need to be removed, that was obvious, but when he went to LOOK, or what ever the hell he was doing in there, felt like he was trying to get to my brain my way of my butt. I am sorry but I am gonna have to get a bit graphic, I am sure you all have not ever been shocked with medical graphics though.

If anyone has ever been checked for internal hemerriods then you can relate, if not, let me give you a wonderful picture!! You put your knees on what looks like a foot rest and lay stomach down on the bed (bed is a nice term for that thing from hell) They then position the movable bed until your butt is up in the air and your head is down towards the ground. I WAS not ready for what he did next since he kept insisting that it would not hurt, just be a bit uncomfortable. UNCOMFORTABLE????? It was like he stuck a round cheese grater in there and turned it around and then felt like he stuck a broom stick up my butt. It hurt more than anything I have ever felt before in my life! I started sweating profusley and shaking and praying it would be over!! I have a pretty high pain tolerance and usually do not let too many people know just how much pain I am in, but all I could do was hold my breath to keep from calling him a VERY BAD NAME. He left what he called a sponge in my rectum and told me to push like I was having a BM, NOW TELL ME SISTERS, HOW can you possible push upside down and bent in half????? I could not do it.

After it was over I could barely move and had pains shooting everywhere. I was still sweating and almost threw up. He finally came back in the room and told me that he really needed to examine me more but since I was in so much pain he is going to wait until the surgery to evaluate it further. He said I need the hemerroidectomy and that he saw a large fistula but thinks there might be more than one in there.. No wonder my rectum hurts so bad. He gave me antibiotics and some lidocaine gel and will see me during the surgery.

I have read about some of you having vaginal fistulas but have not come across anal fistulas in any posts. I have never even heard of it before now either. Has anyone had one and what were your symptoms from it? That might just account for my sweating all of the time, especially at night possibly?

Well, after this LONG day (actually it is only 3:30) I think I need to go and


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Unread 04-07-2003, 02:02 PM
Many many hugs

Oh I am so sorry you arehaving so much pain and problems. I did have "roids" in the past, and when I was 7 months pregnanat with my second daughter, I had to have one really nasty one removed. As far as the bowels go, I deal with IBS symptoms and diverticulosis, with 2 diverticulitis flare ups in the past year. I rarely had any bowel troubles until after my hyst. I don't know if it's coincidence, me getting older (I'm 43), or what, but it sure is awful. My heart goes out to you. I haven't dealt with a fistula in that area, but maybe someone has? No wonder you are in so much pain. I can offer support on the prolapses, though, so don't be afraid to cry on my shoulder. I do hope your doctors get together on this and come up with a plan to finally being you the healing you deserve.You are in my prayers.
Love, Light, Blessings
Unread 04-07-2003, 02:20 PM
AND YET another diagnosis...Anal Fistula

Hey Pam Been there, done that with the rectal exam. When I went to my pre-op with the surgeon who just did my colectomy, he did a 'surprise' rectal exam in the position you mentioned. He said he was just making sure there was nothing in that area that needed repairing (such as internal hemmorhoids) while he had me 'under'. Yes, it sure was uncomfortable, but I was glad he did it because at least then I knew.

We have had a couple of sisters here in the past who have dealt with rectal or anal fistulas. They haven't been around lately (which I hope means that they are doing great now! ) but in case you might want to try to pm them, here are a couple of threads where they posted about it:

I know it must be hard for you to be going through this without your DH home for support. I hope your friend went with you to your DR appointment? I went to mine by myself so I know how that is.

Hopefully by now you have made yourself a pot of and put your feet up. Hang in there sweetie!
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Unread 04-07-2003, 06:03 PM
AND YET another diagnosis...Anal Fistula

I'm sorry you are having to deal w/soo very much Big (((hugs)))..I have no personal experience/advice but did find some good info describing this condition:

A patient who feels ill and complains of chills, fever and pain in the rectum or anus could be suffering from an anal abscess or fistula. These medical terms describe common ailments about which many people know little.


An anal fistula, almost always the result of a previous abscess, is a small tunnel connecting the anal gland from which the abscess arose to the skin of the buttocks outside the anus.


After an abscess has been drained, a tunnel may persist connecting the anal gland from which the abscess arose to the skin. If this occurs, persistent drainage from the outside opening may indicate the persistence of this tunnel. If the outside opening of the tunnel heals, recurrent abscess may develop.

Symptoms of both ailments include constant pain, sometimes accompanied by swelling, that is not necessarily related to bowel movements. Other symptoms include irritation of skin around the anus, drainage of pus (which often relieves the pain), fever, and feeling poorly in general.

Surgery is necessary to cure an anal fistula. Although fistula surgery is usually relatively straightforward, the potential for complication exists, and is preferably performed by a specialist in colon and rectal surgery. It may be performed at the same time as the abscess surgery, although fistulae often develop four to six weeks after an abscess is drained sometimes even months or years later. Fistula surgery usually involves cutting a small portion of the anal sphincter muscle to open the tunnel, joining the external and internal opening and converting the tunnel into a groove that will then heal from within outward. Most of the time, fistula surgery can be performed on an outpatient basis - or with a short hospital stay.


Discomfort after fistula surgery can be mild to moderate for the first week and can be controlled with pain pills. The amount of time lost from work or school is usually minimal.

Treatment of an abscess or fistula is followed by a period of time at home, when soaking the affected area in warm water (sitz bath) is recommended three or four times a day. Stool softeners may also be recommended. It may be necessary to wear a gauze pad or mini-pad to prevent the drainage from soiling clothes. Bowel movements will not affect healing.

surgery for anal fistula:

Good Luck ((Pam)) Pls keep us posted....((((hugs))))
Unread 04-07-2003, 06:20 PM

Sorry to hear your saga continues....s You sure didn't need another thing added to the list....It looks like Sheri offered some good information.

You come here anytime, day or night and your sisters will be here for you with our arms wrapped around you and lots of and

You'll be in my thoughts...

Unread 04-07-2003, 08:35 PM
AND YET another diagnosis...Anal Fistula


So sorry to hear you've had such a hard time.

But it does sound like you're on your way to getting 'fixed.'
Unread 04-08-2003, 07:16 AM
AND YET another diagnosis...Anal Fistula


Just sending warm thoughts your way sweetie.. at least as others have said you are getting some definate answers.. try and rest and things do somehow work out in the end- although getting there can be one wild trip!!

Catch my and come here anytime- someone is always around!!

Unread 04-08-2003, 09:55 AM
AND YET another diagnosis...Anal Fistula

Thanks sisters for all of the prayers and 's..

I read the sites Sheri posted and they were very helpful. At least I understand it now, even though it honkerblonkes me off!!

My rear still hurts today and the buttock aching is HORRIBLE now. I am also just now able to pee better. He must have pushed my bladder when he decided to cheese grate my rectum.

My DD came home from school yesterday and saw me struggling to sit and asked me what was wrong, (she is 14) I told her that I had am exam and it felt like he put a cheese grater in my rectum and she came back with, "Well, how do you know what a cheese grater in your butt feels like?" SMART mouth!! I had to laugh at her. Out of the mouths of babes....

Thanks again for all of your continued support.. I love you all!!!!

Unread 04-08-2003, 10:58 AM
AND YET another diagnosis...Anal Fistula

I really get frustrated by the "it won't hurt, just will be uncomfortable" line. I think it would be a good thing if that doctor underwent that exam and therefore could get a little empathy with his patients.

Perhaps he should have said "this exam should only be uncomfortable and not painful. If I am hurting you, you need to let me know"

So, he gets an "F" in bedside manner. Possibly his really great skills are surgical rather than interpersonal. That will serve you well in the OR.

Hang in there... here's a
Unread 04-08-2003, 12:18 PM
AND YET another diagnosis...Anal Fistula

Hi Michelle!!

I have not seen you on in a while, probably because all I can seem to do lately is post to.

It really made me mad that not only did HE say it would not hurt, but his nurse that came in to chaparone told me it would not hurt and hse was not going to be a part of seeing someone go through pain. *punch*

I guess they did not know how bad they would actually hurt me. At least that is what I am going to believe instead of thinking they were lieing to me.

The nurse even kept coming back in while I was waiting and asking me if I was OK. I told her NO!!! She kept apologizing.

They can do whatever they want to AFTER they put me OUT, until then, NO ONE will come within a mile of my backside!!!!!!!!!!

Thanks, Pam

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