I Need Surgery in My Butt for a Fissure. Does Anyone Know The Price of Going Private?

Shaman on 19/11/2017 - 15:47
Last edited 19/11/2017 - 16:13 by 1 other user

It's been six months. I've only just seen a surgeon a month ago and now I'm on cat 2 elective surgery wait list. They say they try to get you done with 90 days of that appointment but it isn't looking likely. This condition has been debilitating and most days I can't even get out of the bed due to the severe pain

I am currently a student therefore money is quite tight but I am experiencing a lot of emotional and mental health issues from this. So at this point I feel like I have nothing left in me to fight this damn fissure.

The surgeon has indicated he will be injecting me with botox, so I was wondering if anyone who may have had this done in that past privately know of the costs approximately?

Thanks

Edit to add
I don't have hospital cover insurance
I am in WA

Health & Beauty

Comments

    • c64 on 19/11/2017 - 20:38

      funnily enough, when i was a teenager i had a pilonidal cyst and when i presented myself to the hospital with purple pus oozing out of my butt crack, i indeed had surgery that very night! it didn't hurt at all thankfully.

      • try2bhelpful on 20/11/2017 - 14:08

        bet that was one pair of underpants that just got disposed of in the bin.

    • MessyG on 20/11/2017 - 07:50
      +5

      I really don't think that's a diagnosis you can make without a careful examination. Especially not one on a bargain forum on the Internet. I don't know which is worse, you giving that advice or someone believing you and acting on it from a website! You do realise people can still make complaints to the health care complaints commission about people dispensing this advice even if they're not trained professionals?

  • Scot on 19/11/2017 - 20:22

    http://www.zadehsurgical.com/what-is-that-bump-on-my-tailbon… Some more info for you!

  • Scot on 19/11/2017 - 20:34
    -1

    Pilonidal sinuses don't have to be in the tail bone region. They can develop anywhere from tail bone to anal region. They occur in very hirsute( hairy)people and are more common than you think!

  • sharks on 19/11/2017 - 21:49

    Have you had your pre-surgery consult? They will generally give you a surgery date when you have your check up. I recently needed surgery and was placed on the category 2 within 90 days, I had my date within 6 weeks but ended up in hospital as a category 1 and had surgery within 2 weeks

  • Findo on 19/11/2017 - 22:22

    Osmolax and Metamucil have replaced my dietary fibre needs, they’re like liquid vegetables but better

  • You Asked on 20/11/2017 - 01:20
    +1

    Don’t get it done, stick with the Botox and pain. I had mine done recently and they can’t cut it all the way off so it’s now grown back. All that pain I went through for nothing!! Seriously even the surgeon said he’s never get one cut out due to the pain and the fact that 90% regrow back. He said the pain wasn’t worth the procedure all whilst I was in recovery after ha had done the procedure mind you.

    • srhardy on 02/12/2017 - 10:01

      yep, they come back! or never go away, either one

      dry the sucker out, fladgel did that, keep up the fibre or even starve for a month or so…

  • ahly92 on 20/11/2017 - 01:42
    +2

    Minion voice "haha Butt…"

  • champstarr on 20/11/2017 - 02:56

    Rough prices for this type of surgery in W. A. Day surgery for room etc around $3500 to $5000. Surgeon around $1100. Anesthetist from $350 to $900. Only get a little back from Medicare for surgeon and anesthetist. Hope it helps. Good luck.

    • papachris on 20/11/2017 - 05:35

      You really do get reamed then…

  • MessyG on 20/11/2017 - 07:42

    Go to your GP and ask them for some names of appropriate surgeons who do this - then ring around to get a sense of prices. Generally younger = cheaper as they're trying to establish their practice but have been rigorously trained (usually by the people charging the most!). I would not wait around on a Cat 2 list, even Cat 1s can be waiting up to a year and you're at high risk of ongoing chronic pain if you leave it too long even when it does get treated. Botox works well for this and the relief should be pretty fast - it happened to one of my friends around exam time and was excruciating but the botox worked great for him. I would also be finding a pelvic floor physio as soon as humanly possible too. Good luck, don't suffer through this, get it sorted as soon as possible. People don't like spending money on their health and I get it, but I'd rather forego an overseas holiday or shoes or whatever to make sure I had my health in the longer term.

  • Atazoth616 on 20/11/2017 - 08:15
    +15

    Swear that Ozbargain threads are getting stranger everyday.

    • Deridas on 20/11/2017 - 10:35
      +1

      Not that strange, people have issues with their butt all the time, most to embarrassed to talk about it. Where I work in Western Sydney there are many hairy people due to certain ethnicities so proportionally there's higher rates of these ailments around.

      Pilonidal sinuses are emergencies and get done same day because they're infected. Unfortunately anal fissures aren't infected and so unfortunately there's a wait for it. :(

      Lignocaine cream can help.

  • Sensiekatie on 20/11/2017 - 11:10
    +1

    Get a referral to a surgeon from your GP.

    Get the quote as BOTH private and intermediate.

    THE Surgeon NEEDS TO BE one who OPERATES at a PUBLIC HOSPITAL.

    If they are aware of ifnances and pain level, they may even put you on their public list.

    Intermediate is public hospital but you pay some. It is way cheaper and you have that doctor and get to talk to them - rather than just a resident or registrar.

  • kylarstern on 20/11/2017 - 11:21
    +1

    Kevin Malone is that you? Did your healthcare plan not work out? DAMMIT DWIGHT!

  • srhardy on 20/11/2017 - 11:36
    -4

    Get a LONG sharp pin and insert it into anal fistular or go to the GP and get them to use a needle and syringe it… Then squeeze and deflate it. This only works when its near the surface and not internal (higher up)

    Having had one operated on, this is now my preferred method. Next you need a good antibiotic to dry the fistular out and keep it squeezed out. Try keeping it dry with toilet paper, a few folded sheafs will help as the moisture is a problem with rashes.

    Your obviously new to this, believe me, its a DIY or one good GP/mate or family member to help and your good in no time.

    Whats wrong with operations? Well they open it up and it needs to be packed daily and it never works long term and it will reoccur. DIY and its easy fix every-time.

    The needle does not hurt and it will sink in easy. Pain free in a few minutes.

    • Shaman on 20/11/2017 - 11:51
      +5

      Hey it's a fissure, not a fistula. There's no build up of pus or anything. I've literally just got a tear in the sphincter which isn't healing.

    • MessyG on 20/11/2017 - 20:25
      +2

      For the first time on Ozbargain I am speechless. No, just no.

  • wallet72 on 20/11/2017 - 12:24
    +2

    on a tangent, I freaking hate the way they call things like this 'elective'. It's about reducing the perception of the importance of the procedure. Elective, to me, sounds like a facelift or a boob job, not procedures to remedy serious negative issues - knee replacements, fissure repairs, hysterectomies etc etc.

    • Shaman on 20/11/2017 - 16:59
      +1

      Yes! Elective makes it sound optional, as if I'm whinging about something that I don't need treatment for. If I didn't need surgery trust me I wouldn't want it. The term elective should be reserved for surgeries people volunteer for without a medical issue. Issues such as this, pain, knee replacements etc such as what you mentioned, are pretty much mandatory procedures which have no other option of being treated besides surgery.

    • Save Medicare on 21/11/2017 - 15:56
      +1

      Elective as in, won't kill you or cause major harm if it's not done right now/within 48 hours

      Compared to, emergency appendicectomy, emergency cesarean section, emergency laparotomy

  • frostman on 20/11/2017 - 13:28

    How did you get it?

  • Black Hole on 20/11/2017 - 14:30

    tightass will know, ask him.

  • HeWhoKnows on 20/11/2017 - 14:43

    Too late for private. Pre-existing ailments not covered. or you will have to serve a 6 or 12 month waiting period anyway

    • Quantumcat on 20/11/2017 - 16:06
      +1

      You're thinking of private insurance. You can still choose to pay out of your own pocket.

  • Hellman109 on 20/11/2017 - 15:21

    I had the same issue many years ago.

    It sounds like your treatment has been shit, mine was mis-diagnosedthree times. I was in so much pain I could hardly move and my mum picked me up and took me to her doctor and I was on penacillian shots every other day plus strong anti-biotics for a couple of weeks to recover from that, bedridden basically that entire time. After that I was fine basically for day to day activities. I was also given these horrible tasting things that helped me poop.

    I sat in elective for a couple of months, had surgery cancelled once then had it teh second time, no issues waiting at all. Public system treated me well too.

    Basically, how it was explained to me, is that the infection causing my issues had gone, but there was still an internal wound that would get infected again, could take a while though. I was fine until it got infected again and I was told to go back to the doctor if my problems returned.

    PS: never had botox, but our exact issues could be different or treatment improved over the last 10 years.

  • kiwijunglist on 20/11/2017 - 15:22
    +5

    I'm a doctor.

    Would guess up to 5k including the g.a.

    Not sure if your problem is a suspected fissure that requires an examination under anesthetic or a definite fissure.

    Some doctors might inject botox in an outpatient room without a general anesthetic.

    Have you failed conservative management with stool softeners and using rectogesic (or similar cream with a calcium blocker or gtn) 4x daily and after each bowel motion for 6-12 weeks.

    Most people don't heal their fissures because they are non compliant with the treatment.

    The pain with spasm reduces the blood supply to the anus which stops the painful fissure from healing. If you increase the blood supply with calcium channel blockers or nitrates and make the bowels super soft you can stop the spasm then after 6 weeks it's healed.

    The botox injection works by stopping the spasm by paralyzing your anal sphincter which increases the blood supply to allow it to heal. The reason your anus is so tight is because of the pain. It's a viscous cycle.

    There is some misinformation in this thread with people getting confused between fissure, fistula, perianal abscess, external hemorrhoid, internal hemorrhoid.

    • Shaman on 20/11/2017 - 15:52

      Hi thank you for your response. It is a definite fissure, it's been examined via a colonoscopy.

      I believe I have been following the care plan pretty well, which includes rectogesic three times a day with a twelve period of no use each day. I am on slow release and immediate release tramadol as well as valium for relaxing me to help me sleep. I also take a sitz bath at least once a day.

      • kiwijunglist on 20/11/2017 - 16:08

        Good. Stool softeners as well. Since you've already been examined maybe someone will be game to inject you while you're awake. You would save a bundle. Some doctors do it, some don't, it's a pain for the doctor if people complain about the pain.

      • irajohn90 on 30/11/2017 - 22:02

        I would have though pain killers like tramadol would cause constipation as a side effect. If it is, it could possible make things worse. I'm no doctor though.

        • kiwijunglist on 02/12/2017 - 05:20

          Correct. If your pain killers make you more constipated you will feel better but make the problem worse. Stool softeners plenty of fluids and not delaying your poo bc you are sore are the very important (if you delay the poo then it becomes dryer and harder). However you shouldnt also try and force one out or station on the toilet bc that is bad too. Just do your business and leave. No phones or magazines etc.

  • kiwijunglist on 20/11/2017 - 15:36
    +1

    Ps. The old fashion treatment for fissure before botox was a gentle anal stretch (trearing the sphincter muscle and losening the anus). When they first started they did the 8 finger stretch, it healed the fissure but most people became incontinent. There is 10% off coupon for geekbuying at the moment. Fill in the blanks and lube up!

  • myusername on 20/11/2017 - 16:15

    i had Pilonidal sinuses one day, went to the doctor was pretty embarrassed trying to describe the situation at the reception counter, i saw the doctor and told her, and she made a big scene pulled me straight into the emergency room there. dropped my pants lay on my side and she said right call and ambulance straight to hospital.
    went to the A&E department they put me on a bed and for the next 3 hours had quite a few 'doctors or staff" coming in and checking out my butt. was really embarressed although by the end of this i didnt really care. the whole procedure took a few minutes, they lanced it.
    the hardest part was applying the cream they gave me to use over the next few days. i was told to insert it a little bit and squeeze :-/

    apparently because of the location this type of 'thing' is really susceptible to infection hence being thrown in an ambulance .

  • [Deactivated] on 20/11/2017 - 16:59
    +2

    My butt also has a crack in it :(

    • Shaman on 20/11/2017 - 17:00
      +1

      Okay, as long as you don't let your butt crack develop its own butt crack, you should be okay!

  • TheLurker on 20/11/2017 - 17:29
    +8

    Sympathy for your situation mate. In case you could do with a laugh, I'm pasting below a web post from the 90s when the net was first getting popular. The original link is now dead, but if bored, you might get a laugh. Here's the story of Anal Fissure Bob…

    *

    It all started two years ago in Thailand. I had just fired a round of green chile liquishit down the hole that the Asians call "toilet" when I noticed an odd sensation just inside the rim of my sphincter accompanied by a blasting spray of rich red blood.

    After living in Asia for six months, I thought that I had experienced nearly every digestive tract malady known to man: worms, burning, and colonic liquidity on a huge scale. Butt (heh) this was something completely different. It was a singularly unique feeling that I realize was the tearing of my rectum.

    Bob was making himself known to me.

    At first Bob wasn't so bad. The occasional itch and discomfort; nothing that I couldn't handle. A mint-flavored suppository now and again seemed to do the trick.

    But about a year ago, my cruel master Bob began requiring more and more from me. Itching on a scale that can only be described as "hellish" was the order of the day. I had a permanent brown stain on my index finger from trying to scratch the inside of my colon through my troubled anus.

    I had lost all sense of decorum. I often walked around in public with my hand down my pants, finger firmly implanted, trying to appease the evil god Bob. In my spare time I would daydream about modifying various farm implements to deal with the overwhelming itch. I even went so far as to order a tined hand trowel.

    Finally, I went to see a doctor. He made a quick diagnosis of hemorrhoids and let me go with a prescription for some industrial-strength Hemlubetm. The doc never saw Bob, who had retreated in fear of his only natural enemy, the medical practitioner.

    This only made Bob more angry, and he visited wanton terror upon me. I began to condition myself against shitting, so that only with a great gnashing of teeth would I make my approach to the bowl. As the chocolate tube steak would descend, I'd feel my rectum tear asunder like the curtain of the holy tabernacle. Bob laughing. Bob laughing.

    After many months, I finally found a doctor that could help me. She made the diagnosis with a flashlight clamped firmly in her teeth. I had met her in a bar and Bob was not expecting a midnight diagnosis on my living room floor. "No problem," she said.

    I scheduled myself for surgery to exorcise Bob from my most tender of parts. My surgeon informed me that the most effective way of dealing with Bob was a procedure known as VIOLENT ANAL DILATION. I am not making this up! They would anaesthetize both Bob and me, and then dilate my tooter to a diameter that it had never known. My greatest fear was becoming conscious and out of the corner of my eye seeing the medical staff zipping up their trousers.

    Bob seemed to accept his fate, and began to grow more peaceful. We spent our time singing and reminiscing about our last two years together. We talked about the life after this one, and I comforted him with rectal salve and oatmeal.

    I hoped that he would be brave.

    The hospital sent me some medicine that I was to take the night before and the morning of the procedure. It consisted of an overdose of some kind of laxative, and two suppositories the size of a sputnik.

    When the time came, I ingested the pills and inserted the Grogan Bustertm industrial strength stool liquifier. Around ten, I began to feel the need, and by 10:15 I was sitting on the throne enjoying one of the most massive squats of my life. Everything (and I mean EVERYTHING) that was not original equipment was madly scrambling for the exit.

    Sound like fun? Well, for a while it was. Then things began to go wrong.

    I had evacuated myself from stem to stern. Enough already, I thought. Things slowed down, and I showered off and went to bed.

    I awoke at 4:00 am and inserted the remaining suppository. Mistake. By 5:00 I was fully in the throes of what I'll call "colonic dry heaves." There was nothing to shit, but my colon was receiving a chemical message to evacuate at any cost. What had started out as a good time was rapidly turning into a nightmare.

    I arrived at the hospital at 9:00, and was greeted by a nurse who looked as though she belonged in the WWF. I surrendered my trousers and was treated to not one, but two enemas. She explained that there was some kind of chemical added to "help clean you out."

    Once again, I began desperately trying to expel the contents of my digestive system. Alas, it had been empty since the night before. I sat on the bowl, my sphincter twitching in and out as it tried to pass the phantom grogan that it thought was there. It began to hurt. Bad. For the next half hour, my (profanity) felt as if it had been beaten with a baseball bat.

    I was led into an adjoining examination room, where I met a doctor who hadn't previously seen or fingered me. He explained that my surgery was postponed for a week because they had decided that one final test should be performed.

    I should mention at this point that I'm an American living in the country of Finland. Yeah, I speak some Finnish, but I wasn't hep to the terminology of Finnish-speaking proctologists.

    If I had known what was about to happen, I never would have put myself on that table. THE SCOPE! OUCH! Never do this! No matter what they tell you! No matter how hard they plead and cajole — believe me, death is preferable.

    What happened next was this: a doctor snaked a 60 cm fiber optic hose up my fundament. It had a viewing scope on one end, and a device to pump air into my colon on the other. As he manipulated it up my rectum I could feel the head move through the colon. I could imagine the bright light moving through the labyrinth of sphincters and valves. It reminded me of a motorcycle headlight racing through the Holland tunnel.

    The searing pain was intense. At one point, I felt as if the thing was pressing on my lungs. I definitely felt it try to enter something that I was sure was some kind of door to my stomach. At that moment, I began to sweat profusely. The world began to spin. My stomach tried to retch, but again, nothing to barf.

    There I was, lying naked on a cold table with a scope up my air-filled colon, when a plan for revenge crept into my mind. With all my might, I pressed my diaphragm down into the pressurized shit chamber. A tremendous wet fart sang around the hose and out my (profanity). It was accompanied by the overwhelming stench of impacted fecal matter. A small smile crossed my lips. The doctor and nurse pretended as though nothing had happened. It was only seconds later, though, that the tube was retracted and the nurse had to wipe my liquishit-smeared rectum.

    Needless to say, a good time was had by all.

    The day of my rescheduled surgery, I arrived at the hospital in good spirits. I was shown my bed, and given the "button up the back" surgical minidress. Even though the procedure wasn't scheduled until 1:30, I was required to change into the garment. I suppose it's a mandatory indignity to humiliate and degrade potential troublemakers.

    Maybe word had leaked out that I had been asking questions about the procedure. What kind of drugs would they be giving me? Had my physician performed many of these procedures? Medical personnel here don't like being quizzed by foreigners with anal fissures. It had taken lots of explaining just to have a videotape of the procedure released to me. I had to get my local practitioner to request it. (It has since been explained to me that most procedures are taped, but they generally don't release the tapes to the public.)

    I was in bed dozing when I felt a sharp pain in my ass. I whirled my head around to see a rather stern and matronly-looking woman with a large enema bag. Presumably it was her and her nozzle o' fun that was causing the distress. I admired her technique: she probably figured that I would sleep right through it, but she was about as gentle as a bull elephant. Anal fissure Bob let out a sharp cry of pain, and so did I. She smiled and patted my head like a lap dog as she filled my rectum.

    As I looked around the room, I realized that we were not alone. Not ten feet away was the wife and two teenage daughters of the varicose vein strip in the bed next to me. They were all checking me out. I smiled my best grimace and tried to enjoy myself.

    At 1:00, my doctor dropped by for a chat. When he extended his hand in greeting, the first thing that I noticed was that he had a slight palsy. Actually, it was more of a tremor. This is true!

    "Halloo," he said with a poorly forced smile that revealed his large yellow teeth. "I spake anglish warry badney."

    "Uh, hi," I stammered. "I speak a little Finnish; we will try to talk."

    "Okay," he agreed.

    We chatted about the usual stuff, until out of the blue he looked up and said, "We will tear you a new (profanity)." I am not making this up. By this time, I was not feeling very confident about what was going on, and was giving some serious thought to just getting up and leaving. I knew about Anal Fissure Bob. He was something that I could understand. This surgeon was something else. An unknown X with a license to dilate.

    He gave me two tiny white pills to swallow. "For made you relax," he said. Now this guy was starting to speak my language! Maybe this wouldn't be so bad after all. "Seee yuuu in da operashunn place," he said, and was gone.

    I began feeling a little lightheaded, when two orderlies came in. They clucked low and softly to me in Finnish. Who knows what they were talking about? I just kept nodding my head stupidly. I couldn't have answered them anyway as my tongue was stuck to the roof of my parched mouth. As they rolled me down the hall, I tried to count the number of acoustic tiles in the ceiling.

    Eventually, we arrived at the big swinging doors of the operating room, and were met by two others in surgical greens. It was like a prisoner exchange at the Rhine. The two that transported me there wished me a happy dilation, handed my file to the others, then left me with the dilation team.

    As we entered the operating theater, I began to feel quite apprehensive. My tongue was thick in my mouth as I was transferred to the main operating table. The anesthetist walked in and without so much as a hello, started tapping my forearm to find a suitable vein. I tried to greet him but all that came out was a horrible squawk.

    I was relieved of my meager garment, and I lay there alone and naked. I looked down in horror to see that my penis and testicles had completely withdrawn into my abdomen. Perhaps they had seen it first and were trying to warn me, because there on a stainless steel tray, nestled amongst strange-looking devices, was the object of my apprehension.

    It was some sort of anal battering ram.

    Stainless steel, about a foot long, with two handles bolted to it. For all the world, it looked like one of those Stanley thermoses.

    By this time, the anesthetist had found a vein. He still hadn't said anything, so I found my voice. "How about a little Valium to get things started?"

    He surprised me by speaking perfect English. "Here," he said, "Try this." He injected something into the hookup that immediately made me feel secure and right at home. No more problems! I chuckled at the prospect of the stainless invader.

    As this was all happening, the nurses were quite busy affixing stainless steel poles to the sides of the operating table. On top of these poles were large plastic blocks that were deeply indented to accommodate what could only be my thighs: a more compromising version of the stirrups that doctors use to examine women. And truly, the video has borne my theory out. My buttring would soon be bright, exposed, and nearly eye level to the wielder of the dilation tool.

    The chief dilator strolled in, nodding at the anesthetist. The latter hooked up a large syringe of what looked like Vaseline to my I.V. line and said, "See you later." I tried to fight it just to see if I could. A mighty head rush is the last thing I remember.

    It's only now that I review the video tape that I realize the horror of what happened to me next.

    It's strange to see yourself lying on a cold slab, your penis retracted, falling unconscious. Right after I go out, a nurse puts a black rubber mask over my face. Two attendants raise my thighs into the "stirrups" and scrunch me down so that my ankles are bent straight back towards my head. One nurse manipulates what's left of my genitalia out of the way, while another unceremoniously paints my (profanity) with some sort of red-tinted disinfectant.

    The doctor wastes no time, and before you can ask "Is he asleep?" he has two fingers deep into my ass. He checks around and gives my prostate a mighty push. I swear that I shoot a load of fluid straight onto my belly, where it sits through the rest of the procedure. The doctor gives a grunt of satisfaction, and reaches for the dilator.

    Nurses squirt some kind of lubricant from a large syringe into and around my ass. The surgeon then inserts the end of the dilation unit and begins rotating it left and right. Soon he has my poor (profanity) fully dilated. And I mean dilated. There I am, out like a light, with a stainless steel thermos up my ass. Every thirty seconds, the doctor does a 360 with the thing.

    Everyone is looking pretty bored, especially me.

    After about a half hour of this, the doctor removes the dilator and PUTS HIS ENTIRE HAND UP MY ASS. This is the best part of the video. If you've had a few drinks and squint a little, it looks for a moment like some kind of bizarre bondage/fisting film.

    A satisfied nod, and the nurses move in for the cleanup. Someone has the presence of mind to wipe the ejaculated fluid off my belly. Someone else swabs the blood from my ass.

    I get another syringe of something in my arm. The mask comes off my face. A nurse shakes me gently and my eyes flutter open. "Is it over?" I ask with wondrous shining eyes. Lots of nods around the room. "I dreamed!" I say. "Wow, I feel fine!"

    End of video.

    After the surgery, Bob was still his usual self. In fact, he was more terrible than usual. He had expected sudden death, and when he awoke, believing that he had survived a professional ass (heh) ass (heh) ination attempt, he was even more pissed off and motivated than before. He felt betrayed.

    But now he is finally beginning to wither. The hard part about this slow strangulation is that I can feel him dying. He groans and complains like any other terminal patient. I must take him with me wherever I go. We are like the Siamese twins Chang and Eng. Can I survive without my symbiotic buddy?

    On the bright side, my butthole eventually sprung back to a more manageable size. It really is an incredible machine.

    I had a small dinner party on Christmas Day. After dinner I put on the video. It took about twenty minutes before anyone realized that it was me. I guess they thought it was "Nova" or something.

    • Yummy on 21/11/2017 - 16:29

      OMFBOB!

    • srhardy on 02/12/2017 - 10:20

      I have this done every year or two, so, needless to say I PMSLOL reading this!

      …because its TRUE!

      My ass has been stretched so far, I could do a decade in the pen & not even blink now! My ass is a p0rn star, Im just the poor fool that carries it around (out of nerssesity not obligation)

  • squaredonut on 20/11/2017 - 20:01
    +1

    Do you have vaseline at home? Get some gloves and apply some directly inside. Also ask your GP if het can prescribe any other soothing ointment. This will help with passing stools and stop it from making it more painful. And as mentioned by others, more water and dietary fibre.

  • kimmik on 20/11/2017 - 20:22

    Have you taken roaccutane when you were younger?

    • ccrap on 21/11/2017 - 19:25
      +1

      is there a link?

  • yellowskyblue on 20/11/2017 - 22:02
    +2

    I'm really sorry to hear what you're going through. I had a fissure about 18 months ago - the worst period of my life.

    I'm in WA, and went through ED at RPH a few times due to the pain (and associated infection). I was put through to the Outpatients Clinic at RPH, and saw Mary Theophilus - an absolute saint. I broke down at my first consult with her, telling her it was the first time I'd ever considered suicide. The pain was so unbearable, and really affecting my quality of life. She immediately (within a fortnight) operated on me at Bentley Hospital, with a botox procedure. Felt immediate relief after that. It wore off after three months, so had to get a second procedure for botox - this time at RPH with Mary again.

    Keep on top of the pain the best you can which is difficult, as some pain meds can cause constipation - which is what you don't want! See a counsellor if you need to (I did), and if you really need to - go into the ED if the pain is unbearable, or if you're suffering acute mental issues associated with the fissure. Don't just let them discharge you, you're entitled to a second opinion.

    Thinking of you, all the best.

  • Maltopia on 21/11/2017 - 02:38
    +1

    I think the cost would be ASStronomical :D

  • kolorijo on 21/11/2017 - 10:38
    +1

    [AMA] I'm a Butt Surgeon - Ask Me Anything!

  • GregMonarch on 21/11/2017 - 11:19

    There's some people with terrible attitude to people's suffering on here (some of them medicos that should be ashamed of themselves and find another profession). I see plenty of people in emergency departments that aren't a 'live threatening emergency' that could wait until tomorrow - and it depends on the hospital. Some are full, but others are ghost towns depending where you live. If there others with greater needs they'll be seen first. But to tell someone to stay away because they're in severe pain is disgusting. There's a hospital near me that has so few people staff would be glad for the experience.

    It's better than suffering in pain, or waiting to get an infection and die because a bunch of goobers on a forum decided to shame you into waiting. Only you, not us, know how painful it is.

    That said, try asking your GP if he's aware of another place with a shorter waiting list. e.g. Remote/rural. I needed an operation. Waiting list at a major hospital was several months. GP said, "Oh unless you want to go to abc hospital instead." I guess he knew from his other patients the list was shorter. It was a much smaller hospital in a rural area. Originally scheduled for about 3 weeks, someone cancelled and I got in even sooner.

    In the meantime you could try adjusting diet to see if it makes it more bearable. e.g. If you ate only FRESH meat (no processed meat or meat in sauces like bacon/ham/sausages/pepperoni/schnitzels, etc.), then your body's waste output would soon be all urine. Yes, I mean no fruit or veg - meat and water. After a few days, nothing out the back passage might be enough to get you through to the operation. It's 'hard' on kidneys so drink and increase WATER intake (NO softdrink, milk, or anything else) and take multivitamin and magnesium tablets because you'll probably start having leg cramps.

    Now we'll have the drips saying, "Ooo, that's dangerous." Just try it for a few days (long enough to clear out what's already in there) and if you start to feel better - it's only temporary for goodness sake. Most people that will whine about this eat a worse diet themselves. I've done this long term with zero ill effects. Or if you want to listen to them, you could do it for say 3 or 4 days a week - just adjust for you.

    Reason? I had a similar problem, and doing that meant after a few days the bowel is empty and you're only expelling urine because all you're eating is protein. This soon gave pain relief, and enough time to heal. Not saying you'll heal. Just that it may take enough edge off the pain to make life bearable until the operation.

  • Tech5 on 21/11/2017 - 15:32
    +1

    We are missing [AMA] I Need Surgery in My Butt for a Fissure Ask Me Anything. Step up!

  • FittyFitty on 21/11/2017 - 16:05
    -1

    Suppose one enquired about how you acquired said fissure, Sire?

    (advance apologies to all the ESL folk who will let this lyrical miracle fly above their head and minus me solid)

  • brewmaster on 21/11/2017 - 19:04
    +1

    Hey dude!

    Bit of background, have a chronic Anal fissure which hasn't healed for almost 7 years! I've had two surgeries on it too!

    The reason I'm telling you this is cause the second time I consulted a doctor (very good doctor, lecturer also at the best medical university in Sydney and perhaps Australia), he was not really comfortable with Botox and after all my research(google) on botox it didn't really heal much, except made things worse. Might have been my situation, where yours may be appropriate for Botox.

    I know you're cash strapped, but I would highly, highly highly recommend finding out who your best colorectal surgeon is in WA and get a consult done. Don't need to get surgery from them, but get a second opinion of the best doctor you can find, might just save you a "shitload" of pain and cash in the long term.

    Take this seriously, fissures are some f@#$_&- up S@$$

    All the best!!!
    Brewmaster.

  • srhardy on 02/12/2017 - 10:26

    after all, ITS YOUR ASS ON THE LINE

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