Do I have Anal Stenosis? What is it? | Dr. Chung explains!
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- čas přidán 23. 12. 2021
- Anal stenosis is a very distressing diagnosis. I have come to find many patients are being told they have this diagnosis and it has caused so much stress in people's lives.
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
This is a serious diagnosis and unfortunately is used incorrectly. I hope this helps to understand it.
Thank you for answering my question Dr. Chung.
Thank you for doing videos. Your information is great. I have watched several and I feel like I got information and help.
I had 4th degree tears during childbirth in 1979. I was sewn up after the birth but the stitches burst and I lived that way for years till 2011 . I had an operation they gave me a sling by taking a muscle in my leg. I had so many complications . I was left with stenosis . I had a house flap a few months later. It left scar tissue . I have been dealing with this for so long. I went to see another Dr. He suggested a colostomy bag. No way! I use Konsyl every day, I use a dialators every day. My life is miserable because of it . I was impacted 3 times . What a horror show! I read on line that stenosis is a debilitating condition. I'm here to say it is. love your videos.
Thank you, Doctor! This was SO helpful. 🙏
Thanks Dr Chung for this helpful information
Well this video really calmed me down. I was almost in tears when I started watching it. 😢
Thanks I am also Suffering this problem .
God-bless you. Dr
Thanks for the information. Very interesting!
Hello Dr Chang. Thank you for recommending oatmeal. After 6months of serious pain on my hemorrhoids. I'm taking oatmeal every morning. Indeed it's working. You are such an amazing doc. Thank you
Dr. Gundry’s “Total Restore” has really helped me.
Your great Dr thank you for your you information
Dr you gave us really good education in our back end, I am pretty sure my case its stress or anxiety, I have a fissure (7 weeks) that make me toooo afraid to do #2, feel prolapse after doing it and it's very painful to push everything back, dr said to do kegels ( that I have done since 5 years ago) and I am afraid to make it more toned and affecting more.. now trying to make yoga and meditation to calm my nervous system... what path do I have to follow...
Thanks doc
Hello Dr Chung , can you please make a video on staple hemorrhoidopexy? Thank you.
I think I finally figured out what I have
Thanks.
Does using dilators to stretch the muscles a good alternative to instead of getting a surgery?
You do a great job of explaining medical issues.
Really? I thought this was verbose.
@@shinra2755 I had to look up the definition of verbose 😂
Can the stenosis come about as a result of food sensitivities?
Suppose a Proctologist told a person after a colonoscopy that "your sphincter kept closing up on me?" Having gotten a colonoscopy a few years ago when complaining about narrow stools, I was told that. Otherwise no other issues other than a few internal hemorrhoids. Is involuntary spasming of the sphincter normal under sedation?
I had treatment with laser on stenosis and it worked perfectly. My doctor is dr. Grigoriadis Georgios - Athens, Greece
Can you get it from pelvic floor dysfunction and hemms and fissure?
Can you explain prolapse please.
I will add it to the list. Stay tuned!
OK. Its not stenosis but very tight muscles. I am 66 and having rheumatology problems . I remember, at younger age the stool could have larger diameter and coming out more easily. Gastrοenterogist after examination says the opening is normal but the stool cannot be wider than half inch. A couple of times I had a prolapse from the push, that lasted several hours. 95% of the time everything is normal but what about that terrible5%. If hard stool is stuck in the opening what can I do?
Well my anas hole shrunk and when it gets close time to poop it cause my stomach to hurt like a twisted fork even the smallest poop hurts my stomach and anas. What would you suggest as a doctor as a opinion of medical advice to ?do
Dear Doctor, I had hemorrhoidectomy 5 month ago, When I put finger there the opening is too tight and it gave pressure to my finger, I can't expel poo easily big hardened poo can be expelled with suppositories but without it is hard
I am suffering from A. Stenosis since 1996, I was using an antidiarrheal (Metronidazole + Furazolidone ) TID for two days, and I found secnidazole a single dose therapy on the third day I took Secnidazole, suddenly I felt symptoms of Piles intense burning and itching. I went to the doctor he prescribed Daflon 500 mg BD with tronolane cream. after one month I was ok, then sometime after I again took Secnidazole for diarrhoea and again same symptoms appears but with low intensity since then no medication for piles and haemorrhoids helped me in this condition and several times I went to doctors, but no one recognized this. After studying much literature about stenosis I came to recognize my illness as A. Stenosis but found no treatment for this. Currently, I do not have any pain, abdominal discomfort etc but alternatively hard and loose stools (narrow) at irregular times.
how r u dealing with this bro? any treatment you got from surgeon like flap surgery?
Hi
What are the medical treatment for this. Is dilation good for this and how dilation is performed and side effects of it
Did you go through the anal dialetion prosess..how are you now
I had a hemorrhoidectomy two stage 3 hemorrhoids one month ago and I'm having stenosis symptoms. Is there anything to do to improve this problem non-surgically? What are my options? Please help!
It's difficult for me to comment without seeing you in my office. A correct diagnosis is essential.
Remember this one from just 4 months ago, Dr. Chung? czcams.com/video/P4KWBqNOnKo/video.html You are clearly doing something right! Your sincere, honest approach to your profession is magnetic. You truly care about your patients and all of us out here. It is so refreshing to find a doctor who cares so much about others. Seems crazy to have to say that, but it's true.
WOW! I can't believe how quickly time has passed. I have so much to be thankful for and I'm so glad people are finding benefit! I appreciate the reflection time, Kathy.
Sir miralax safe for long-term use please guide, I m suffering from hemorrhoid?
He has videos on Miralax, Metamucil, & Colace. I understand that you can used Miralax longterm without side effects because it is an osmotic "Hydrolizer", which just absorbs water. It also stimulates;ates a gentle push, unlike Colace, which just softens without the push (unless you get Senna in it, which can have long-term side effects).
Doc, 35 days ago i had milligan morgan hemmorodectomy, today my stool calibre about 2 -2,5 cm, still have pain and swollen at my left rectal canal (grade 4) when the stool came out and after, do i have anal stenosis?
Does sphincterotomy cause stenosis?
Thank you .. is the surgery painful ? Also, is there Laser/Lasik surgery in USA/Cali ? Do you have any idea please ? Because as I heard and understood, Laser/Lasik surgery “the surgery with high quality technology” is not painful and the healing process is very fast and short !!
I suggest you see a specialist regarding your situation. Anal stenosis cannot be repaired with laser.
@@yourfriendlyproctologist Thank you
So how do I know if I have this? I've had a colonoscopy, endoscopy, etc. No doctor has even mentioned this
Hame treat karna
Hi dr chenga
HI EVERYONE!!!
Anyone with an update from their experience with this after a hemorrhoid surgery would be greatly appreciated.
I’m on day 4 since my surgery and haven’t gone poop yet. My bum feels like it is very tight and I’m having terrible anxiety thinking about the first poop.
I’m nervous that he took too much good tissue and I’m now left with a whole new problem which is super hard mentally.
I’m hoping it’s all going to get better as I heal and time goes on but I would love to hear your experiences on this as well! I hope everyone is doing well!
Dont hold your poop its not helpful it will create more problems for u.
How are you feeling now?
How are you now?
THANKYOU
I have an anal stenosis following a Milligan Morgan, and I was dilated with a Hegar Candle to diameter 23. I have to undergo a U-shaped skin plasty (also called Bellan's plasty) what do you think of this plasty?
I would need more context from you. Check out the description box for details on a video consultation with me. Otherwise, you may need a second opinion from another specialist.
Can use of stool softeners long term lead to stenosis?
Use of colace or miralax will not cause those problems.
What about using steel dialators every day......??
It should help from what I know
Hi doctor. May I ask that will the piles surgery that remove external piles (Closed Hemorrhoidectomy- suture closed wound) cause anal size diameter & anal verge area become smaller or reduce to half of size due to sultured wound tissues after cut off of the piles?
- So does daily bowel movement help in stretching of scarred tissues after piles operation on long term basis to become softened over the time ?
Appreciate your reply , thanks
Great question! I have added it to the list.
Thank you doctor. I’m 53 and have my first anus doctor visit next week. Have had bleeding issues for 10+ years. But much less an issue since I have been using panicua about a month and a half. Going to a major hospital here in Seattle so hopefully have good resources. I’ll probably reach out to you for secondary option. Cheers Doc…thank you!
I had a hemorrhoidectomy, fissurectomy, and removal of an ulcer a few years ago. The recovery was Hell. I've always had issues with my pelvic floor muscles and sphincter always tightening since childhood. I'd be given enemas as a kid to help me poop cuz I'd clench up and not be able to go.
Since the surgery, my hole is about as big as a pencil hole and nothing comes out that's any thicker than my index finger - even when relaxed. Sigh :-/
Prayers up, I know I'm not alone, hope you recover...!
Give up Hi fibre Vegetarianism. Castor oil may help or Stool softeners...
What about those of us who DO have it. Ibs/crohns, plus hemorrhoidectamy and years of way to much pooping. My colonscopy last year, the Dr couldn't widen the area even under anesthesia. I already leak, I'm terrified of surgery that may cause permanent leakage, even though i have it now, I have hope.
I have the same problem did you get sorted and was it a success
So, what is the solution ? How can we solve this issue ? Is there any cream or medicine or pills ? Thank you
surgery is the only solution....that is, if anal stenosis is the CORRECT diagnosis.
@@yourfriendlyproctologist Thank you .. is the surgery painful ? Also, is there Laser/Lasik surgery in USA/Cali ? Do you have any idea please ? Because as I heard and understood, Laser/Lasik surgery “the surgery with high quality technology” is not painful and the healing process is very fast and short !!
Hi doctor. May I ask that how does the doctors assess the degree of anal stenosis is it by means of digital rectal examination such as one finger size entry *is the standard reference ?
Can Surgical management of anal stenosis such as anoplasty or advancement flap method help to treat the anal stricture ? Under what kind of condition then can perform such surgery ?
Appreciate your advice ,thanks
Check out my other videos on anal stenosis.
@@yourfriendlyproctologist hi doctor , thanks very much .
Thank you so much for doing a video on this topic! So, how do you relax and overtightened muscle to go comfortably? Since my hemorrhoidectomy I've struggled. If I have too much fiber it doesn't "fit" and I have to wait for a lot of pressure to force the muscle open and push it out. If I make it too soft it comes out like thin ribbons or very narrow. The muscle just won't relax and open up without force. I'm trying to avoid a sphincterotomy.
Great question, this topic is on the list.
I had this issue also Dr ~ after my hemmorhoid surgery my colon has become soft and spongy while the pelvic muscles have become hypertonic ~ tried PT and everything ~ it has become such a problem with BM ‘s that I’ve lost 55 pounds in a year and am now scheduled for colostomy ( Hartman procedure ) the beginning of March ~ I’m so nervous but it has become imperative !
Hey Garnett I also have been suffering through same since my haemorrhoidectomy. Got any solution? Any relaxation?
@@mukeshbharadwaj4768 My muscle is still very tight but I did find a good routine to make going fairly painless so I feel like a person again. I take calm of magnesium every evening to help keep me soft and regular. Just a low dose. I take a little fiber in the AM with lots of water. I make sure I stay hydrated all day I also eat a diet that hits my recommended daily fiber intake (fruit, veggies, whole grains). I exercise or walk daily to keep active. I sit to go at the same time daily. Finally, if I'm struggling I take black strap molasses. I find it really softens and moves things.
@@garnettalexandros7020 okay bud , wish you speedy recovery
I had an operation for grade 4 external hemorrhoids, the Milligan-Morgan technique, which means that the wounds are left open after the hemorrhoids are removed. Am I at risk of stenosis after healing?
how are you feeling now?
@@monserratmartinezchavez5842 im fine thanks
Could it be anal stenosis if the muscle hasn't relaxed for 18 months now??? I'm just at my wits end with my situation, and don't know what else to do. I was told a possible weak pelvic floor, however, I went to pelvic floor therapy and there wasn't any improvement. I do have Lupus and this started during a flare up that in short gave me IBS like symptoms.
Hello sir , can anal stenosis or scar tissue be fixed with surgery or simple incision in OPD??
Doctor Chan, I had hemorrhoidectomy months and half ago, I've noticed that mu stool is coming out a little bit thinner, like from side to side. Should I raise some concern? And what should I do?
Problem has been resolved?
@@divyesh5673 yes, everything is fine now
Hello I have mild stenosis, can I do self-dilatation to widen my bottom?
I recommend you see a specialist to make sure you have the correct diagnosis.
I went in for a sphincterotomy and when I woke up my surgeon said I didn't have a fissure. He said my muscle was tight though, so he still did the surgery. Truth be told, after the initial pain from hell, I do have much less pain. I am wondering what conditions indicate a sphincterotomy as appropriate treatment aside from a fissure, because the only thing I could find was anal stenosis. So, I assumed I had anal stenosis, but I had 2 digital exams prior to surgery. I've been confused ever since, but I am looking for a new surgeon.
It's difficult to say as I don't know the entire context of your story. I agree with your decision to get another opinion.
@@yourfriendlyproctologist if you take my personal story out of the question, I was really just wondering what if any conditions support a sphincterotomy besides a fissure or anal stenosis, because I can't find anything else?
@@mombythec hws uh now
@@mombythec you are lucky to have your surgery done just for tightness. Because I also have tightness in my anus , although no fissure. But doctors say that surgery cannot be done in such a case. I developed this tightness after my hemorrhoids surgery...
@@mukeshbharadwaj4768 I sure did not feel lucky with the amount of pain caused by being cut right where there was actually an abscess :( I am so scared to go through that amount of pain again that I haven't been able to trust another surgeon and just live with the pain of the abscess and fistula that I actually have. I don't understand how a doctor could screw up so badly after even doing an EUA. I suggest going to a different surgeon or try a gastroenterologist. I requested my gastro order an MRI because immediately after that hellacious surgery I could feel a swollen lump and the other surgeons I met with couldn't even feel it because I was still so swollen. The MRI showed that I was right and have an abscess now with a fistula.
I had a hemorrhoidectomy and my hole was alredy so narrow I’ve never been able to pass solid poop and I have another hemorrhoidectomy I have to have and I’ve had anal spasms and constant diarrhea and it’s hard because I’m so constantly constipated and I had a fissure fix to I have ALOT of gi issues I have gerd and alot more they said I had stanosis before surgery
I'm worried I might have stenosis. My poops are usually quite thin, and I have NEVER been able to put a finger inside, not even my pinky. I have hemorrhoids and the doctor is telling me to apply diltiazem with my finger, but it feels absolutely impossible. Should I be concerned? I'm applying it with an enema tube because it's all I can fit. Should I slowly try stretching it?
How did dilation go? I have the same problem can't get a finger to dilate as so so small. Can only mange each day by taking stool softners and soluble fibre. Any advice appreciated.
@@roryfinnegan1070 it's actually been going well. I sit in a hot sitz bath first and then just go suuuuuper slow and try to relax as much as I can. Still have recurring hemorrhoids but at least I can put the cream in now
@ScribblyDoodle thanks for getting back to me the consultant told me anal stenosis and no option but for surgery. However I have managed with diet and stool sorteners so trying to avoid surgery. The last six months have been hell wish I never had the hammeroidoctimy in the first place. I'm glad your improving hope it continues to get better for you.
Hi,
I see you wrote this problem 10 months ago. are you healed well now? i know you really had problem with severe narrowing of anal canal since you mentioned that you could hardly insert pinky finger. have you had any further treatment to solve the issue? hope you are doing well.
Are you doing Any exercise for tight Sphincter .
iam really scared i feel like i cant open my bottom end .😢
Hello Dr, following Haemorrhoidectomy am experiencing severe spasm after defecation... How to get rid of this ?
Is it a common complication ?
I recommend speaking with your surgeon as I do not know what was done in your surgery.
@@yourfriendlyproctologist milligan morgan open Haemorrhoidectomy with partial lateral sphincterotomy done sir...
There are so many one liners in this video
Hello doctor i had lateral internal sphincteroctomy done more than a month ago and my doctor told me i have stenosis as well . My wound is still not healing its almost 2 months is it normal? I am doing sitz baths and using antimicrobial ointment topically
I would say it is not normal. I would recommend another opinion or speaking with your specialist.
@@yourfriendlyproctologist i am worried my external wound should not turn into a non healing wound but my proctologist just keeps telling me "it will healy slowly slowly"
How are you now... has it healed?@@bringmesomeavocados
Hi doc, I've been having similar symptoms, like slightly narrower and slighty flat stools for about 2.5 years. But but about 4-5 months back this has become so problematic that stool became more narrower and found it more difficult to pass stools. It feela like their is a constriction at or right above the anus. Fearfully I consulted a doctor. They did Sigmoidoscopy, but to my surprise he said the results are all fine and there is nothing to worry. But I'm still have those symtoms, it is difficult to pass stools, and everytime i feel like there is more left to go after taking a shit. Please share some opinion.
It's difficult for me to answer this without a consultation. Please email me if you are interested in details for the consult.
Hey. I have the same type problem. I started taking magnesium glycine. It helps my muscles relax. It's helping me to relax and sleep better. I eat veggies and only little chicken for some meat. I eat more fruits now.
How r uh now
@@marypolk9820 how r uh now
I have da same problem h r u now
Hi doctor. May I ask : if the stool size get smaller & flat after pile surgery, does this mean that there is anal stenosis? Does it mean that after months of recovery , the stool should become less flat as the operated area has healed & the scarred tissue should be more softened & flexible than the initial stage of post operation?
Thank you….
Good question. I'm not sure why your stool is flat because I did not perform your surgery. The answer to your last question is No.
@@yourfriendlyproctologist
Thank you so much for your answer ,doctor. May I ask: Can intake of high fiber food & softener used together (to help in increase the stool bulk and not so hard) in the Bowel movement so as to stretch the operated anus area in a way that it could help in expanding & stretch the tight anal skin area over a period of time?
Will regular stretching & expanding of the operated area through daily bowel movement help treating the symptom in anal stenosis ? Or this is for mild case only? Appreciate your advice ,thanks .
Hey we have the same problem with the flat and thin stool. Have you diagnose with stenosis?
@@perlaondit5590how are you now? Did your problem solve?
@@cssng7164did regular stretching helped?
I love you
Is there anything like stenosis or narrowing of internal anal sphincter? And external sphincter is normal? Is it possible?
I have a general learning question (not personal nor medical advice). Have you seen any cases of either anal stenosis or other anorectal conditions with a co-morbid Lichen Sclerosis dx and if so, can you assume LS was directly or indirectly related to those conditions?
I have not seen LS and anal stenosis in the same patient. Doesn't mean it doesn't exist, however. I would see a specialist near you to make that determination as I'm unable to examine you.
What about dialation?
Doc .. is there any test to find out if you have anal stenosis.. besides anoscope
Stenosis is not a fancy word for narrowing its the Greek translation for narrowing.
Dr chung in post operation hemorrhoidectomy and i have stenosis for sure its been 1 month now ... What should i do ? I dont trust my surgeon anymore :/
How are you now?
Can this happen after a few / a dozen rubber bands of hemorrhoids?
Hello, it’s been 4 months I’ve been dealing with pressure in my rectum and it’s ruined my daily life routines. I no longer study or work due to the pressure and horrible feeling in my rectum / lower body. I also feel i can never finish all my bowel mouvements. And even though I have a good diet (I have GERD) i tend to feel constipated (Maybe I’m not). The pressure / uncomfortableness in my rectum really takes my focus away from anything in life. It mostly bothers me when i sit or lay down to sleep. One important thing is that my fart noises have a specific noise, it never changed and it only lets a little bit out, I always feel farts are stuck in me as well. Most the time i try to force fart or stool out … only little comes out. It’s honestly changed my life into a very dark one, this pressure in my rectum or wherever it might be has really turned my life upside down.
Same here how are you feeling lately I noticed it's been 5 months hope you are feeling better if so please share what gave you relief. Thanks.
I am feeling the same after pelvic bone frecture due to car accident, can you tell did you recover from this issue , i only can pass out stool when i use some stool softener, usually drink castor oil in hot milk , its working fine but issue is that after every bowel moment i feel pressure in my rectum
@@muhammadrafiqatif4040 im well. fiber like apples, kiwi and walnut does it for me also plenty of water remember seating on cold and extra warm water will help prayer is key.
Had uh done any srgry dear
Hey how are you now?
Rectopexy?
Dr. I ve been diagnosed with anal ste. but actually my real probblem is having constant bowel movents, like 10 to 15 a day, is this caused by the anal stenosis? That's actualy the only problem I have. I am 74 years old, and a colon cancer survivor.
Congratulations on survivor hood! It can be caused by the stenosis, but a specialist would really need to hear your story and examine you. I wish you continued success.
Hello,
I’m experiencing pain cause of an anal fissure after a serious constipation after a covid, now I’m dealing with this issue with oliv oil and dilatation and I think it’s a part of the ultime solution
Try nothing to loose but be carful go softly
Good luck
Sir, how to make stool way wide ?
That will depend on many factors. I recommend you see a specialist near you.
@@yourfriendlyproctologist sir, chronicle fissure patient necessary to do operation or surgery?
I am afraid of surgery!!
Why rashes around butt and front
Dr. Chung I had a hemroidectimy 4 days ago. My poops are thin and hard to come out. And very painful. Is that normal after a hemroidectimy or does it mean I have anal stenosis?
How are you feeling now?
@@peny1981 fully healed
I thought I had anal stenosis but after I watched ur video I felt releived and thinking better now .
Please tell me now what to do to relax my anal tissues other than taking soft diet .
Even when i relax and let my stool flow out it still feels like its ripping through a small hole. I have been eating food to help soften stool as well and its working but still the pain and feeling like my anus is being ripped as i poop. If its not stenosis what can be close in terms of these symptoms i am feeling? Im left it pain for hours after i poop every day please help.
Mister Doctor one month ago i have a fissurektomie now my anal is narrow my toilette ist diffcult and pains this is normal ?
check out my other videos on fissures
If you have it is it treatable?
It depends on your condition and the physical exam.
Dr Chung I think i hava anal stenosis 3mos after my hemmorhoidectomy..is it safe to just use laxative or stool softener for a long period of time bec i am afraid i will get constipated? i dont want to go thru another surgery again..im having trust issues now with other doctors😫
I'm sorry to hear this. I'm not sure what is going on...consider a video consult with me or a second opinion.
how r u now dear?
I m also going through the same problem...how are you now
I want to cry.
ive had hemorrhoidectomy a month ago and now i cant pass stool properly without taking softeners. It needs to be completely watery 😭😭. I now have anal fissure and dont wanna undergo another surgery for stenosis. This is hell.
Hey how are you now? Do you have stenosis?
I just had anal fistula surgery and my Dr also removed 3 massive hemroids I was in pain for 2 weeks and was bleeding everytime I had a bowl movement for 2 weeks after the surgery I'm on my 3rd week and I still bleed but it's not bright red it's like watercolor red but my main concern is that my anus is still tight I can have a bowl movement but I have to push to assist it not hard but a little and I noticed my stools are flat and I'm assuming it's from my anus being tight is this normal? And will it go back to normal?. Please help cause I'm nervous thank you.
yes, the narrowing of stools happens often. I will place this topic on the list!
I m facing same problem 😞
@@rishikumar-lh8dw it took a month but It went back to normal but I was uncomfortable for a few weeks but you will go back to normal. What sucks for me is the fistula is still healing I wish it didn't take so long but I'm glad I did the surgery so hold you head up it does get better. 🙂
@@fatso79750 thanks a lot for ur reply 🙏it’s been month for my surgery by shar sutra therapy, now m worried about my anus become tight and I don’t know when will become normal
@Bymistake yes m better than before . No bleeding at all and no fistula either. and anus hole became little bit more wider now. It’s not that tight now
Hello dr i am Satish from India i am 22 years old i have a problem of poop pass issue by anus what i do for this dr says that i have anus stenosis please suggest without surgery solution 😢
Sir anal dilation done under spainal anesthesia in hospital before 8 days still I have more pain after bowel movement and small pain lasts for hours.how long will it take to heal.can I get back to normal
How are you feeling now ?
I suffer from anal fissure so now everytime I would try #2, I would always try to make my initial poop small so it can go out smaller, overtime I noticed my poop are like pencil thin and my anal muscle would always close up if I feel like there's big poop coming out, and only to find out it's small poop, then even with small poop, I would get anal fissures...this is so frustrating and stressful...idk how to treat myself to go back to normal pooping.... is there any help you can suggest Dr? Thanks so much
Difficult to say. I suggest a video consultation. check the description box for details. wish you the best.
Hey, did your symptoms improve. I think i am in the same situation
@naelaperween7254 yes actually. I don't have fissures anymore BUT I suffer from anal spasm... went to go to Colorectal Surgeon, she mentioned, I didn't have anal fissures but (superficial cuts) and she tried to do DRE and my anus kept closing up and she said my anus was so tight so she referred me to Physical Therapist. And was an eye opener because I had no idea that my muscle down there were working overtime and it's tightening the muscle and that's why my anus was getting stretch even with soft poop. I'm not gonna say I'm 100% recovered.. I'm still working on it... I still have tight anus but my PT told me to buy pelvic wand (intimate rose) to slowly introduce to stretch the anus... it sounds so scary cus now I only tried to insert it 2 times and it's so tiiight... but it's getting better day by day, my PT showed me how to stretch my.muscles down there, it's not as good as her technique tho but I think I'm doing okay bcus my BM now is quite better than before... I suggest for you to get referred to a PT...
Hello, I got a dilation of the anus after the surgery, and now I have low self-confidence and weakness from my penis. I really don't know what to do. I want to know if there is a way to narrow the anus, and if so, can you explain what it is? And how is it done please
Hi Dr. Chung. My hemorrhoidectomy was four and a half months ago. It still hurts everyday when I have a bowel movement. Very rarely do I notice a little bit of blood in the stool. Generally, it's just pain. I've been using Nifedipine cream with lidocaine for about 6 six weeks and I think it's helped a little bit. I used to feel a burning/nerve pain with BMs until about a week and a half ago. That's gone, but the painful BM is still there and then my bum aches for hours after. Saw my general surgeon today and he did an anal exam. Said my anus is quite tight, he could feel a sort of ring inside there and that I would benefit from anal dilation surgery (procedure in OR). I also have a fibrous nodule that's on the outside that just happened about 2 months ago. He said he would cut that away too. Does that seem like a reasonable course of action? Mostly wondering about the anal dilation. Worth it? Effective? Painful recovery? I would appreciate any comments/feedback please.
I would ask your surgeon, for sure. Or seek a second opinion. It's hard for me to comment since I can't see you.
Thanks so much for your reply, Dr. Chung. I did ask the surgeon. He feels I would benefit from the procedure, said it wouldn't result in anywhere close to the pain from the hemorrhoidectomy, and that I would likely feel better within a week (including cutting the nodule/piece of skin outside of my anus). I was just hoping to hear whether you have thoughts on that procedure. Again, he said there is tightness, but he was able to get his finger in there so he didn't say, "you have stenosis." He described it as being a bit of stenosis or something like that, which seems to make some sense to me. I have an appt with my GP to see when I might get in to another specialist for a second opinion, but I've been waiting around a month and it could be months more so that's not a great alternative. On a positive note, I just had a fairly pain-free bowel movement. Maybe because he had stretched things out a bit the other day? No idea if that's possible or is a dumb thought, but it's pretty coincidental that my bowel movement hardly hurt at all today. Thanks for any added info you might be able to offer.
Hey. I have very tight problem also. I started taking magnesium glycine. It helps my muscles relax. It's helping me relax and sleep better
How are you now? There were some pelvic floor relaxation exercises that helped me a bit with that
I’m in a similar situation, and the dr. said dilation may help but the scar tissue could also just be hard. He also said to cut the scar tissue to open up the anus, but I’m not sure if I’m ready for that yet.
I had a hamerroidoctamy and now have anal stenosis as diagnosed by the consultant. Its so tight I can't find a hole and the consultant could not gain entry. The consultant suggested anal dilation under general anesthetic. However over the last few weeks I have changed diet to soluble fibre and stool softener and can go to the toilet with little discomfort. My question is if I can manage, should I leave alone? Please help.
আমারও একি সমস্যা ।আপনি কোন লেক্সেটিভ টা ব্যবহার করছেন।
I’m pretty sure I have this. I’ve had chronic anal fissure for years. It’s getting harder and harder to pass stool. If it’s hard, I have to physically push it out via my vag and pushing with both hands out the anus. Or if I do pass stool normally, it’s very thin. I’m either constipated or have diarrhea. The fissure I’ve had for years and it comes and goes. I’m bleeding again. I’ve decided to finally see a doctor but I don’t want to. I know what they are going to say and I just refuse to have the surgery. I don’t know what to do.
I have an autoimmune disorder and EDS. I don’t know if I have Chron’s, but it’s my fault that I didn’t treat the anal fissure I’ve had for about 7 years now. I’m getting mild leakage of stool. It itches and I have to keep wiping and wiping and then it just gets more irritated. Not to mention the awful spasms.
Jesus, get a damn colonoscopy already…..😢
After having a hard time passing stool, and constipation just once, I feel like my anus shrunk , is this normal after just one time
A year in, my hemorrhoidectomy was botched. I have terrible anal stenosis and suffer for hours after a bowel movement. I am in chronic pain in the most embarrassing area. I also have a few fissures from how narrow my anus is. I went to a general surgeon for my hemorrhoidectomy. Please go to an anorectal surgeon if you get a hemorrhoidectomy they are way more specialized, and they won't take more tissue than they should
Good news and update, I found a great doctor who gave me a prescription for diltiazem cream he said it works on 70% of his patients. I've been using it for a week while taking psyllium fiber and collagen peptides. So far, so good! The doctor told me that if the pain remains, he can do a set of botox shots that work on the 30% that the creme did not help. He said it helps 9 out of 10 times. Then he said if I'm in the 3% of that group which the first shot didn't work, he will do another botox shot, which is another 9 out of 10 chance to be completely healed pain-free. He said only 0.03% of that group need to have fissure removal surgery or anoplasty, and he said the risk of being incontinent/needing diapers for a short period is about 20% and he said it's absolutely a last resort because about 2% of people may need them long term. His name is Dr B Billings from Newport News VA. Don't suffer for a year. If your pain is still around after 3 months, please see a proctologist/anorectal surgeon (they don't just do surgery). See them for pain relief, too!
@@mariejacob6178 I had hemorrhoidectomy surgery in April of 22 and my bowel movements are still painful an hurt to pass. Doctor says not to strain during BM but if I don't strain to push it out then it'll just sit there until I'm backed up enough that the stuff behind it forces it out in turn causing fissure. Also I rarely have the urge to use the bathroom like I did before surgery plus some roids have returned. I feel like the hemorrhoidectomy has caused just a many problems as it fixed, I'm definitely not having another hemorrhoidectomy surgery and I don't know what to do anymore. This situation is ruining my life, seems like it's getting worse also. Now I'm getting fissures when before I never had any an these past two weeks I've started passing gallstones as well. If this is what 44 years old looks like I hate to think of what 50 will bring . I'm so tired of living this way an feel like I'm a burden on my wife now. She's been great in dealing/helping with everything but since surgery everything has gotten worse instead of better which was the whole reason I had the surgery. Sorry for the rambling comment, having a bad day.
@@mariejacob6178 How are you today?
hello Doctor, Could a chronic fissure cause anal stenosis?
Short answer, no.
Doctor my anal canal has became really small please give me some solution .
Hi doctor Chung, I had a hemorrhoidectomy 5 days ago and I've had extremely thin poo even with muscle relaxers, stool softenerss and mill of magnesia. I have to strain so hard to even get a tiny bit out. I forced a large but soft bowel movement out and it came out noodle thin. I was in so much pain I went to the ER for pain relief/muscle relaxation. My bum has been trobbing and every bowel movement is extremely tough to get out. :( is this normal?
It is certainly possible. Definitely request your pain be controlled adequately by your surgeon!
I have the same and I m in day 6 how your story ended up ?
I want threw this at 18 and it only got worse I’m 28 now
@@hopes1569 how r uh now
A year in, my hemorrhoidectomy was botched. I have terrible anal stenosis and suffer for hours after a bowel movement. I am in chronic pain in the most embarrassing area. I also have a few fissures from how narrow my anus is. I went to a general surgeon for my hemorrhoidectomy. Please go to an anorectal surgeon if you get a hemorrhoidectomy they are way more specialized, and they won't take more tissue than they should.
Good evening please could you tell me if anal fissures creates anal stenosis?
I had sphincterotomy three years ago and since then may stool looks flat.
Why??
It's difficult for me to know without seeing you in the office. I recommend seeing your surgeon.
Hi doctor . May I ask that if during the carrying out of the examination to check if a patient has Anal stenosis after few months from piles surgery, so while inserting the scope into the Anus area (with lubricating gel), but there is experienced of some sharp pain during the process and if the scope can go in , does this mean that the scarred tissue are not overgrown obstructing the anal canal and this is consider as there is no anal stenosis ?
Appreciate your advice thanks.
Great question. I'm not able to answer your question unless I see you in the office.
What about injury from falling backwards or injuring the spine?