Deep fissure = Crohns?

[livelovelaugh]

Hi I'm new to the forum!
That being so I'm not exactly new to Crohns - I've had it for about 3 years. Anyways I have this HORRIBLE anal fissure that will not go away but I'm not sure it's Crohns related or just something I've happened to develop.

My Crohns was initially in the area where the small & large intestine met but around 3 months ago I was under a lot of prolonged emotional stress & I had a bad diet (eating fried chicken tenders, various lemonades, deli meat sandwiches, & sugar cookies). One night I had a very hard/painful bowel movement and I initially felt the pain right then. I thought it was a hemorrhoid or two and it stopped being painful after a couple of weeks. This stress caused my Crohns area to become too constricted and I had a bowel resection. I was healed and all better! But with the resection I had constant loose stools and that seemed to open up the wound again & I was in more pain than EVER. I had a fistula/infection removed and they put me on flagyll & cipro (sp?). It's been 4 weeks and it hasn't gone away or feel any better.

They said it may be the Crohns coming back in the peri-anal area so they're going to up my dosage of Remicade (I've been taking that since I was diagnosed) to see if it will do the trick.

I'm so sad and scared. Does this sound like Crohns!?
I've looked up how "normal" people get fissures & it's exactly how I got mine how could this be Crohns and not just a normal deep fissure?

 

[Dazzafarr]

Anal fissures/tears are usually developed from too hard or too loose stools.
I would say it would be in association to your crohns.
I have had problems with fissures for years. At one stage I never left the house unless I had to.
It may however be in relation to a fistula/sinus rather than just a fissure.
I have been coping for the last 3 years by using non alcohol baby wipes and if bad "hydrozole".
Some use siz baths although I never got as much relief from a bath.
I tend to find the stools that agrivates the fissure are mushy stools.
To determine if it's a fistula/sinus, your GI will hopefully organise an abdominal MRI.
If its just a fissure, baby wipes/siz baths and remission should heal things up.
Try get the fissure manageable and don't avoid the toilet as this will make it worse due to the stool will become harder.
Some suggest eating lots of fibre... Prob the worst advice I ever had due to all the suggested "wheat" fibre foods cause the mushy stools.
Eat a subway cookie and you will know what I mean...
Hope this helped although do remember varies apon individuals.

 

[livelovelaugh]

@ Dazzafarr - Yes I'm already doing the sitz baths 3-4 times a day, using Pep. H wipes, using Analpram oinment (which works the best so far - still painful though), and I'm actually tucking & changing a tissue & on top of the region (because the discharge that comes out causes pain also).

It's very painful for me whether it's loose, hard, or of toothpaste-like consistency.

But thanks for the tips!

 

[Dazzafarr]

Seems like you're doing what you can to manage.
The discharge issue sounds more towards an anal fistula.
Sometimes you can have Fistulas corrected and they can come back.
Goodluck and I hope you get answers soon