Anal fissure surgery: Lateral Partial Internal Sphincterotomy. | Dr. Chung answers YOUR questions!

[@kathcares]

How refreshing to hear a surgeon recommend treatment before surgery! I know this is because you truly care about your patients' well-being. When a doctor recommends lifestyle changes, they have to trust the patient to follow through. When a doctor performs a surgery, he or she is in control of the treatment. Lack of compliance is such a huge issue for doctors, since they are the ones who will bear the responsibility of the outcome. Pressed for time, many doctors will resort to the options with the most compliance: drugs and surgery. I don't blame them, but I wish they would consider counseling their patients thoroughly about the benefits and risks, and about the benefits of lifestyle changes. Thank you for being in the minority! I hope that in the future many doctors will use this channel to educate their patients on these important but difficult topics.

[@yourfriendlyproctologist]

I appreciate your time and thought to write the comment! I think many people perceive doctors being "impatient" and wanting a "quick fix" because there isn't enough time spent discussing the topic. The patient feels they are being rushed and ignored which destroys the trust in the treatment plan. I will often recommend surgery first for some patients but ONLY after discussing every detail so the patient feels their involvement and ownership of THEIR body.

[@kt9190]

Yes.. my dr cut me at the age of 40 and now I have incontence

[@Irfanul_Haque12]

@@kt9190 How many years ago you did your surgery? Please?

[@Irfanul_Haque12]

For how many years are you suffering? Arw you still suffering?

[@kt9190]

@@Irfanul_Haque12 15 years

[@MargaretStewart-cv9fq]

I suffered for 2 years with chronic anal fissures, internal hemorrhoids and significant pelvic floor dysfunction. My bottom end blead almost daily for this entire time. I had the surgery to remove the fissures, the sphincterotomy, and the internal hemorrhoids. It was an awful process to heal and ended back in the hospital five days later with an infection. I did not feel that I had a choice but if you can avoid this set of procedures I would recommend. In case you were wondering I did complete pelvic floor pt and still do the exercises daily. Since the procedure I have been diagnosed with slow transit motility and chronic idiopathic constipation so I will end up being one of the 6 people who will have a recurring problems. I am on a very strong set of very expensive meds to work on improving motility and improving peristaltic in my large intestine

[@Eddie12314]

I did the surgery 1 month ago and let me tell you. The second day you are forced to have a bowel movement. It’s scary but with time it gets better. So far so good healing well. No stitches 20 minutes surgery. Spinal anesthesia done no pain at all. Eat well don’t get yourself to this stage.

[@AwesomeFinish]

So they do spinal if not general?

[@Avikukreja18]

How are u now ?

[@Eddie12314]

@@AwesomeFinishyes sir

[@Eddie12314]

@@Avikukreja18I am very fine normal like it never happened

[@deepsakarwal59]

​@@Eddie12314how long does it take to get back to normal after surgery?

[@hamoodal-hajri68]

Thank Dr. Chung for the amazing video. I’ve had this surgery about 10 days ago. 3 days after the surgery I wish I had the patience and waited for it to heal by it self instead of the suffering I had to experience before the surgery. However, 10 days after the surgery, I’m glad to say that I made the right decision. I’m recovering faster than I anticipated and thanks to my surgeon, his main and only advice was to clean the cut with iodene every 2-3 hours no matter what. It’s a terrible experience, extremely painful, and at some point you’d hesitate to even touch the cut with a feather, but I had to do it and he was perfectly right. As for the uncontrolled gas and stool passing, Yes you’re right and at some point I thought I’d regret this decision. But I assure anyone who’s considering to go for this surgery, it’s a matter of few days until it you get control of this. One last advice: eat lots of lettuce and cucumber, stay away from wheat, and take the softner every single night during the first 2 weeks. It will make your life easier and get you recovered within days. All the best.

[@manoush5371]

Hi Hamoud, thank you for sharing your experience. I’m considering to do the surgery but I’m afraid of my consistent constipation. What if I do the surgery and my constipation go on.

[@turalchiragov5906]

Hi, i have a anal fissure prob. It is destroy my life. I want to make a appointment for surgery for next month. Just want to know after surgery could you control poop or gas ? Thanks.

[@magicminutes340]

How are you nowww, are you back to your normal routine

[@magicminutes340]

​@@manoush5371did you go for surgery

[@AwesomeFinish]

with all due respect Dr. Chung, I've had this horrible ailment for about 4 months now. I've watched all your videos, I've adjusted diet, got stools soft. Used the nitro (which definitely helped and got me the most time between retears) but in the end I retear every 3-4 weeks. The last couple of tears happened with no pain and no reason period for it to open back up but it did. Once this thing goes chronic it's almost impossible to heal without surgery. I've read countless accounts of people going through the same things I did and the surgery was the only fix for them. I'm there now, next week I go for surgery and I'm counting down the days. I want my life back.

[@barbarahunt4628]

I had surgery and should have done it a year ago!!! I am pain free, back to my routines and don't regret my decision. Good luck to you 🤞👍

[@AwesomeFinish]

@@barbarahunt4628 thank you for the words of encouragement. This will be my first surgery ever and first time going under and I'm terrified. But nights of being a grown man crying on the floor from this horrible pain has had me suicidal at times and I'm not that kind of person! Anyway, how long did it take you to go back to normal? What kind of pain should I expect in days following the procedure? I appreciate it.

[@barbarahunt4628]

@@AwesomeFinish i was not in anymore pain from the second day forward. Of course I have a wonderful surgeon and my experience was very good. You'll do fine and will be able to have relief. Think positively 😊

[@elabellaful]

@@barbarahunt4628 where did you do the surgery? I have been dealing with chronic anal fissure for 2.5 years and nothing has worked been on waiting list for LIS for one year finally seeing specialist on Monday.

[@deepsakarwal59]

​@@barbarahunt4628how the surgery went brother? How are you now?

[@Veronica-tk9rl]

Hi Dr. Chung, can I ask why you dont perform these surgeries anymore or at all?

[@barbarahunt4628]

I'm sorry but I've tried prescribed ointments, OTC creams...they made my pain worse! I've been drinking 64 to 80 ozs of water, drinking Metamucil, eating 6 servings a day of fruit and vegetables...I swim, walk and have an active social life. The pain in my bottom is extreme. I am hoping the surgery I've opted for will help after my year long struggles with my daily bowel movements! Love your videos. Feel free to comment. 😊

[@AwesomeFinish]

Any updates?

[@magicminutes340]

How are you now

[@barbarahunt4628]

@@magicminutes340 doing spectacular!!!

[@D_Downs]

I’ve been suffering for 4 months of chronic fissure. Did 2 months of nifedipine ointment multiple times a day, miralax, stool softener, fiber and half gallon to gallon of water a day with minimal results. I have minor bowel incontinence and can barely move around and have to sit on 4 inches of foam pad everywhere i go. I have surgery scheduled soon for LIS or botox injections hoping i can get back to normal.

[@jeremydawkins8399]

How did surgery go?

[@D_Downs]

@@jeremydawkins8399 6 weeks post op, turned out i had a fistula along with fissure. Had fistulotomy and fissurectomy and started nifedipine ointment 2 weeks post. I feel back to normal no pain whatsoever today.

[@jeremydawkins8399]

@@D_Downs Thanks for the reply. Did you do botox or LIS? I am in the same situation as you and trying to decide which route to go. My doctor says just do the LIS as it's a higher success rate than botox but he is say the LIS recovery is just 3 to 4 days and then i should be fine with no pain. From what i have read that is not the case. Either way i have to do something i am in pain for 10 hours after a BM.

[@bartsimpson-k4i]

@@D_Downshow r u now ? surgery was successful for you?

[@D_Downs]

@@bartsimpson-k4i went great, back to normal

[@Conk-bepis]

No one wants to have a surgery, but if the problem keeps coming back again and again for years, there is no other option…

[@otvisuals9756]

Thanks dr Chung for this video, do you think that lifting weights at the gym or intensive workouts can increase the chances of getting it back again even after surgery ?

[@yourfriendlyproctologist]

I always advocate exercise and do NOT recommend laying in bed all day. I do not believe working out increases chances for developing an anal fissure.

[@otvisuals9756]

@@yourfriendlyproctologist thank you so much

[@jorgefarias8749]

Hellos Dr! Great video 👍.. I’ve been suffering from an anal fissure for a few months now and it’s brutal pain . I went to see my colon doctor and was given an ointment to apply 3 times a day . I’ve been doing so and also taking new diet plans plus fitz bath but it seems my anal fissure is not healing . Just saw my doctor again and they’re now recommending I go through with either Botox injections or surgery . I’m really nervous , would you suggest I go through with the surgery or should I keep trying non surgery methods to help heal? Thank you doctor , your video and answers are much appreciated. God bless

[@yourfriendlyproctologist]

I have a different approach with anal fissures. I have videos on diet, how I treat anal fissures. In essence, surgery is a last resort for my patients. If you are interested in my thoughts and treatment methods, check those videos out!

[@AwesomeFinish]

I did the same exact things and nothing worked. I'm 4 months in and going to get surgery next week. Did you end up getting surgery?

[@jorgefarias8749]

@@AwesomeFinish Hello! Wow it’s been 2 years since this occurred to me still can’t believe that time of my life.. the worst, I pray for your bettering ❤️‍🩹 Just try to keep calm & know that you’re not alone in this. So for me personally (& I’m speaking on my own behalf from my own experience, I’m no DR.) I had to make a great change at first forsure. I went ahead and avoided anything with nuts or really hard foods that I thought would make my poop too hard so I basically “softened” my diet. I also stayed off dairy 🥛 It was not doing my digestion well plus the gas was making my fissure hurt more. I religiously took warm Epsom salt baths. Like every morning and night, would aim for twice a day & just stay soaked up for about 20 mins. Now honestly what I praise my fixing for & at first thought that’s guys were scammers, was a product called Pranicura! If you google it you can find it, I believe it’s sold from overseas but they ship internationally. It’s a pink ointment that I would lather on about 3 times a day & man that was very magnificent for me. I had to buy the bottle like 3 times honestly & kept taking warm baths. Kept my diet clean & wow before you know it I got better somehow. I now no longer suffer from a fissure, it re opened once but hasn’t happened since. I still watch my diet, no longer use the cream, here and there take warm baths. But I did learn to control my stress cause my doctor said the more you anger, the more your causing your anal muscle to contrast & that’s no bueno for a fissure. I never ended up getting any surgery or Botox injections as first recommended to me. I had to endure so many painful nights just praying & keeping positive, reading comments, interacting with people who’ve dealt with it & just reading up on how to soften my stool. I seriously would suggest that cream to anyone in suffering, PRANICURA. & like I said just avoiding like oats, anything toasted, eating lots lots of fruit & drinking about a gallon of water a day. God be with you dear friend & best of luck, much love from Los Angeles, where they said I couldn’t yet I did. Anything is possible through perseverance.

[@AwesomeFinish]

@@jorgefarias8749 Glad that's working for you but I'm not living my life avoiding all the things I like. From what I hear, after the surgery your life goes back to normal. Even hard poops won't reopen the fissure because of the lack of pressure. I think some of us get this because our sphincter muscle is just naturally tighter. I have IBS too so it couldn't have helped. But over the last couple of months I've gotten my diet pretty squared away. No hard poops but it always reopens right around 3-4 weeks like clockwork. I'm just tired of it.

[@prachijoshi3331]

Hello Dr Chung, my CRS did skin tags removal and fissurectomy instead of LIS as he mentioned he didn't feel my sphincter was hypertrophic so he didn't want to cut it. I am 7th day post surgery and every bowel movement burns for good 4-5 hours and I have a habit of going 2 times a day. Is fissurectomy as successful as LIS in my case too?

[@oussamadjabali9306]

how are you doing

[@likhitha6038]

Hi how is your fissure now did it healed please reply😢

[@prachijoshi3331]

@@likhitha6038 It took me 1 year to completely recover. I would lose hope everyday but somehow kept at it. My fissure still reopens after a hard bowel but it isnt as bad as it used to be. I just recovered again from a reopening but I can feel the area is still sensitive. I try to not eat a lot of processed food like all-purpose flour food etc and I remain ok.

[@likhitha6038]

@@prachijoshi3331 so even after surgery fissure do occur?🥺

[@prachijoshi3331]

@@likhitha6038 Unfortunately in my case, yes it re-opens after a hard bowel :( Fissurectomy alone is not a 100% cure for this unfortunately.

[@ratnapatel1407]

How I wish you were in Florida 😩 I’m trying to figure out if pelvic floor dysfunction is contributing factor to tight sphincter muscles 🤔 - Is it, Dr Chung?? Are there any exercises to relax that area? I finally had some relief after months and months of hell on steroids but it was short lived and opened up again. I’m trying so hard to eat a soft food diet and have kept up With softeners (probably will have to my whole life)- I lapsed with trying almonds and whole flaxseeds instead of ground flaxseed. Did that aggravate things? Absolutely cannot go through a colonoscopy because I couldn’t handle the prep. Too nervous about LIS - Lyme disease = very slow and impaired healing. I’m at my wits end (I even did an Exosomes iv at the height of the discomfort but no luck). I really don’t know what is next. My CRS was pressing surgery 4 -5 months ago. All of this from covid severe dehydration. Is there such a thing as too much fiber? I’m doing all the right things. I don’t know how to get past this. What are your thoughts on quaterization? CRS says it’s very painful. Any feedback would be greatly welcomed. 🙏🏼

[@yourfriendlyproctologist]

Yes, pelvic floor dysfunction can definitely contribute to tight anus muscles! Yes, too much fiber can be bad for you! Thanks for sharing your story. I'm sorry I can't make recommendations since I can't examine you. I recommend a thorough discussion with your CRS. I wish you the best.

[@awarenessaboutyourself7871]

How are you doing now?

[@rutbamemon949]

Hey Dr. Chung, I am experiencing a lot of pain. I have been using a diet, ointment (Diltiazem), and a stool softener for a month. Now, the doctor has told me to stop using the ointment and other medications. However, after three days, I experienced a lot of pain and a burning sensation while passing stool again. Another doctor has suggested surgery, but I do not want to undergo surgery. Is there no other solution? I wish you were in my area or country.

[@brightsmile8369]

Dear Doctor , i have been suffering from anal fissure for over 30 years ! with multiple tags .. lived all my life managing it with extreme care.. have ibs .. take probiotics had occasional flare ups .. always been very very careful about diet and avoiding constipation ... 1.5 years ago got sick severe cold .. bed ridden.. 1 super bad SEVERE constipation immediately had SUPER SUPER super bad flare up that does not end until today with extreme pain (and allll other symptoms u know) knowing that ihave done everything you recommend before and after i watched U ... DO I have ANY chance of healing without a surgery as i am EXTREMELY worried about post op incontinence thanks

[@yourfriendlyproctologist]

Replied to you on another video.

[@rachangoudapatilnidoni5058]

I heard fissure can cause further complications, how did you manage for 30 years please tell.

[@imvublackmarket]

Doctor my fissure was almost healed. I had no pain since September 20th. 2 days ago i decided to stop taking laxative because pain was almost gone. When i used to take laxative poop was soft and i could see traces of water so it looked soaked on water ( not like Diarrhoea ) . But since yesterday i think my poop is not watery so when i try to poop i feel like my muscles go up and i have to strain in order to poop. I tried my best not to strain even a little bit but poop was just out a bit. It wasn't hard poop it was just not coming out. Maybe i dont know correct way to poop ? Or i have anal stenosis ? Or its just my sphincter muscles acting up ?

[@dazai5932]

Same things happening with me too ? What can I do please help I'm in pain

[@imvublackmarket]

@@dazai5932 hey sorry to hear that you're suffering from this. I have to get Surgery and its getting better since then. My fissure was healed but my skin tags caused lots of pain. So i had to get Laser LIS and Laser fissurectomy and Laser ablation of Hypertonic papilla

[@dazai5932]

@@imvublackmarket I had LIS surgery 15 days passed but while pooping there is still pain I am really afraid I don't want it to reoccur and my stool is hard 😔 I am really tired of this

[@dazai5932]

@@imvublackmarket how are you now

[@imvublackmarket]

@@dazai5932 try belly breathing when pooping, do not strain. Drink 3 liters of water daily

[@SanthoshSA-v2r]

After 2months surgery i have pain and bleeding on lis site area why the reason?

[@foodtubekp2135]

It's take time be patient after 42 days of LIS still feel discomfort

[@mohamedzayed6180]

Sir I have chronic fissure 3 years ago with pain on and off .trying to treat constipation but some doctors said I should have conservative tt like GTn .is it OK or I should proceed to surgery

[@yourfriendlyproctologist]

Difficult for me to say without more details. See another specialist or consider a video consultation with me.

[@mohamedzayed6180]

@@yourfriendlyproctologist Sir I just ask which is better just lateral sphincterotomy or cauterization of fissure with lateral sphincterotomy .

[@mohamedzayed6180]

@@yourfriendlyproctologist I am nephrologist If I can have video consultation with you

[@yourfriendlyproctologist]

@@mohamedzayed6180 Sure, please email [e-mail] for details.

[@keyonnasims7935]

@@mohamedzayed6180 how are u doing now ?

[@yasser9740]

Dr i have done the surgery 11 days ago and sadly am lying in my bed most of the time[ i do go for walk for 20-30 mins per day :( ] because i have pain while standing and while moving that is why i dont want to put more streess on it, my question is how much time should i walk and move without putting stress, i took laxative twice a day since the surgery but after day 9 i felt a little Diarrhea so i decided to make it 1 per day is it ok?

[@bartsimpson-k4i]

how r u now?

[@magicminutes340]

Plz reply how are you now

[@UgurTerem]

I'm curious about this. After a LIS (Lateral Internal Sphincterotomy) surgery, is there a visible shape change in a healed anus? It seems to me that there might be a symmetry disruption since a muscle is cut from one side of the anus.

[@darkenergy1637]

Hello I have undergone to partial laser sphincterotomy and laser hemorrhoidopaxy and I'm feeling that my anus shape has been changed , How are you now is everything ok?

[@stungenboy]

doctor post surgery may i use diltiazem for incision to heal fast ??

[@yourfriendlyproctologist]

Yes!

[@stungenboy]

@@yourfriendlyproctologist sucral ano or diltiazem which is best doc to heal the incision

[@Lostoldman]

I had a fissure repaired some 40 years ago only to be left with permanent spasm. All these years I have struggled trying to have diorea with fybogel just to go.I have recently been prescribed Rectogesic twice per day applied externally not inside??? Why externally??I’m 75 I am getting some small but significant results in relaxation but is it ok for me to stay on this permanently? My doctor is only a GP general practitioner. Thank you very much 😀

[@AwesomeFinish]

Surgery technology wasn't the same 40 years ago.

[@lindalinda1719]

Hey doc! I would like to know if thermal water is good for anal fissures? And can i use nifedipine cream more than twice a day? Best wishes!

[@yourfriendlyproctologist]

Can you explain what thermal water is? I recommend nifedipine be used 4 times a day.

[@magamedaliyev8133]

Hello doctor Can you pls answer I did use nifedipine ointment for one year but its not helping me for my spasm and i just got Botox injection and hemoroid bend like shrink they told me and now i have fistula but after all my bowel movement i have problem with muscles squeezing and i have fissure problem too …i m a truck driver i need help from you can you pls answer do you think Lateral internal sphincterotomy is good idea for me or no ? And if its risk for gas incontinence and stool if yes so for how many weeks or month ?? Pls help me

[@magicminutes340]

Dr, i had my surgery 5 day back and pain is bearable and deit is completely non spicy... When i can start having lil bit of spice.. after 2-3 months?

[@TanmoyDas-wd3zw]

Doctor, I had lateral internal sphincterotomy on 15th of February. Even after 1 month I feel little pain during defecation and some times I can see blood with stool. How long will it take to heal completely?

[@yourfriendlyproctologist]

typically the wound should take 4-6 weeks to heal.

[@TanmoyDas-wd3zw]

@@yourfriendlyproctologist Thank you sir. I'll wait till 6th week.

[@nivabarahi7379]

Doctor i have passed 5 weeks that i have done piles and fissures lasar surgery. But its very painful after bm. Is it normal?

[@TanmoyDas-wd3zw]

Doctor, After 6 weeks I'm feeling quite well.But sometimes little leakage of stool with fart, using stool softener from the next day of LIS till now. Is that an indication of fecal incontinence? I'm terrified...please help

[@vinothini3716]

How are you now

[@nivabarahi7379]

Is lis done for mild stenosis?. As i m not healing after piles and fissures lasar surgery, doctors recommended for that. Please waiting for your reply.

[@yourfriendlyproctologist]

I would need more information form you. consider a video consult with me and check out the description box for details.

[@ahmedsalman8582]

Dear…you are awesome,clever and most important you are quite honest…If I may add a small piece of information that I d be glad to read your opinion about….when the patient keep a pad or a gauze close to the anus , I keep telling them it is normal to find poop staining or soiling the pad,,DO not panic,,you are not leaking,,,it is natural By the way I am a surgeon from Egypt,I do apply almost the same strategies in treating fissure with some modifications that suit our people.. Many thaaaaanks

[@ofwride4471]

Does chronic fissure can heal by medicine or should go to surgery. What is the best way in curing fissure medicine or surgery

[@yourfriendlyproctologist]

I have healed chronic anal fissures without surgery! But it takes dedication to get it done. Definitely see your specialist for a recommendation.

[@naomideleon8363]

@@yourfriendlyproctologist hi I had a hemmroidoctemy and lis surgery 7 months ago .. I absolutely regret the lis surgery it has left me with horrible fecal leakage and incontinence... I have my diet well done get my grams of fiber both fibers.. drink gallon of water daily use stool softners and also take a bulkinh agent ...nothing has helped me !! I'm a 40yr old no kids amd have been left this way .. I'm very depressed and I'm so upset at my surgern that litteraly said the percentage is so low that no I will not have this problem yet the more time passes the worse its getting plus now have a skin tag. I have severe pelvic floor dysfunction and so I did pelvic floor therapy with a specialist for 2 months and it didn't help me at all if anything it's worse..I even did all my pelvic floor too exercises at home too 😢 😞 I don't know what kind of doctor can help me with this ?

[@techstark4503]

@@naomideleon8363 How are you doing now ?

[@KyotoMix]

@@naomideleon8363 I am so sorry to hear that. I wish that we could share our feelings. Btw God bless you!

[@bartsimpson-k4i]

@@naomideleon8363i’m sorry to hear, how r u doing now?

[@DigitalBusinessDrive]

I have fissure and went to LIS, now on post op day 5, first 4 days pain was manageable after BM. But from today having much more pain then day 1 after BM. Its lasting for hours after BM. I am also taking painkillers but not much impact, any advise plz?

[@yourfriendlyproctologist]

I'm sorry, you will need to contact your surgeon as I don't know the details of your surgery.

[@nivabarahi7379]

How are you feeling now? After how many days you feel better?

[@DigitalBusinessDrive]

@@nivabarahi7379 my fissure is healed now but it take 3 months after surgery, i was thinking surgery was a joke no impact, but now i recover. Doctor always fool you that you recover in 2,3 weeks but its not. It take 3 to 4 months

[@subhuman3408]

@@DigitalBusinessDrive So you are saying surgery is useless

[@DigitalBusinessDrive]

@@subhuman3408 For me Surgery not helped me, my doctor was saying to do it again. I refused it and started aruvadic treatment and now my fissure is gone

[@nadasakr7272]

I noticed than premium area became shorter or maybe disappeared after the surgery. the surgery was done since 6 years . Is that normal?

[@yourfriendlyproctologist]

Thanks for sharing. Unfortunately I can't answer your question well because I cannot examine you. The best solution would be to see a specialist. Wish you the best.

[@nonononononosss]

My surgery story ( anal fissure and piles ) Let me tell you at the beginning that I was suffering from anal fissure and grade two piles since 2017 and my surgery is on 26-8-2024 in the morning. I will share with you my experience of 30 days after my surgery 🙏I am doing this because there are a lot of negative and painful experiences to be seen and read about surgery. I will provide you the truth after experiencing it myself

[@nonononononosss]

There are still 1.5 hours left for the operation (surgery). Now my operation is in just few mins . I am very worried about it. Actually I am a very strong man, but when it comes to tearing the ass, everyone gets scared. The doctor has said that you will be able to walk after 2 days and will be able to do daily chores after 7 days, but as per the online comments and some other people's advice, I will have to suffer a lot for a month. Whatever happens, let's see what happens. I have been suffering from fissure and piles for 7 years and am ready to bear more pain to get rid of this pain. I have some fears and questions in my mind like 1) Will the pain of the operation be bearable. 2) Will I get rid of fissures and piles after the surgery. 3) Will I be able to share my experience with you for a few days after the operation 🥲.

[@Novelbrocolli]

@@nonononononosss hi! How was your experience ?

[@nonononononosss]

​@@NovelbrocolliMy surgery experience was very good. I had this problem for 7 years, I used all kinds of Ayurvedic medicines, I consulted the best doctors, I also took their medicines. (But now it has been more than 50 days since the surgery, after 14 days I am doing my daily work and lifestyle, surgery was one of the best decisions of my life, now I think that I should have done the surgery much earlier, now I am free from the hassle of pain 👍🙏🫡

[@saadiarafique1761]

How r u now???

[@nonononononosss]

Yes, I am absolutely fine, I had the surgery on 26-07-2024, after 7 days I started most of my light work. And after 14 days I started all kinds of work, like desk work, long driving. Definitely, the decision of surgery was the best decision of my life.@@saadiarafique1761

[@MRK-mz2ck]

I had an infection during the one week l did a surgery the 2 time a doctor did not give to me antibiotics What do you think?

[@yourfriendlyproctologist]

This is definitely a question for your surgeon. I highly recommend you have a thoughtful discussion about your concerns. Because I don't know your situation and I have never examined you, I'm unable to answer this question well. Wish you the best.

[@fromravs1266]

Dr Chung your content is the best on the internet. Please just pray tell me I will be normal soon? I am 10 days post op laser surgery for fissure and grade 2 hemms, one out and one inside. Yet I am stuck to bed. Bms are painful and the swelling is driving me mad. Will I live rest of my life in toilet and planning my day around my bms and sits baths. Will laxatives be the most important food in my life. This is a compromise. Please please answer. Help !

[@yourfriendlyproctologist]

It's best to speak to your surgeon about your surgery recovery. It sounds like your surgeon needs to address and answer your question on pain and your hemorrhoids. I wish I could be of more help, but I can't examine you over the comment section. I wish you the best.

[@fromravs1266]

@See me Here I am better but still a lot of shooting in the dark with medicines laxatives and other stuff the only thing I want to say again and again is - laser surgery and 2 days recovery is bullshit! Don’t buy that gimmick

[@jorgefarias8749]

@@fromravs1266 so you wouldn’t recommend having LIS surgery ? I’ve been suffering from an anal fissure hurting me so much , depressingly suicidal pain at this point , my doctor tried treatments but is now suggesting we move forward with surgery. I’m sure post op hurts and I heard it takes a while to heal . But isn’t it best to be hurting from something healing rather than allowing it everyday to cause pain from just being there ??

[@likhitha6038]

Hi how is your fissure now please reply😢

[@bartsimpson-k4i]

fromravs1266 how r u now dear?

[@jimmycphoto]

great video! 👍

[@yourfriendlyproctologist]

Thanks so much for saying so! I appreciate it!

[@donnabradley765]

Can you recommend anything to wear under a swimsuit for leakage? I love to swim but haven't been able to because I'm afraid of a stain on my swimsuit. Liners swell up when in water

[@yourfriendlyproctologist]

Good question! I would shower in the gym before putting on your suit. Then immediately wash your suit with soap at the gym. I do not believe the stain will be permanent.

[@donnabradley765]

@@yourfriendlyproctologist I don't want a visible spot on my bottom if I have leakage

[@donnabradley765]

@@yourfriendlyproctologist I'm wondering if there is a less visible liner type product to keep from a visible leakage spot on my swimsuit . I'm terrified to even go swimming because if a stain appeared on my bottom I would be horribly embarrassed

[@happylittletree]

@@donnabradley765 I can understand your worries completely. I've seen leak-proof swimwear for periods, maybe that is something to look into.

[@donnabradley765]

@@happylittletree thank you!

[@francoisfortin3005]

Hello Dr.! I just had the sphincterotomy 7 days ago and since day 2, I have continually small traces of bleeding when I clean with a damp pad, and this a few times a day. After a week, the situation does not improve. Aditionnal information, the pain is almost gone after 3 days, but I'm still bleeding small amounts. According to your opinion, is it normal?

[@yourfriendlyproctologist]

I suggest speaking with your surgeon as they did the surgery and know all the details to help you.

[@AwesomeFinish]

Any updates?

[@nilsonclarindo2366]

Thank you for your video. It was great for us who are dealing with this challenging situation. I just had the procedure done, and this is my 5th day of recovery. No incontinence, I feel that I can hold it, but the intermittent bleeding and moderate pain are bothering me. The nurse says it is normal to have some bleeding. Do you have any recommendations to stop the bleeding? Is it part of the process? Regards.

[@yourfriendlyproctologist]

I recommend you see your surgeon for a proper exam and thoughtful discussion.

[@bartsimpson-k4i]

how r u now nilsonclarindo2366? was the surgery successful for you?

[@Warprincess1004]

Hi Doctor Chung, I am having this anal fissure issue. I have had the Botox shots about 4 weeks ago. On 1/2 of the area the burning and stinging has stopped, but the area where the actual fissure is, is still very painful 😢 I have asked my doctor for pain meds but he will not give them to me. I sooth myself with a dried wet towel between my butt cheeks. This seems to help sometimes, but im told the area should be dry. I can't possibly do that without pain meds. Am I hindering my healing because of the dried wet towel? I also have to said I am glad that I have stumbled upon your videos. You have calmed my nerves, something that my own doctor has not taken the time to do and I have learned somethings as well. I want to say thank you for your patience 🙏and I wish I was nearby.

[@yourfriendlyproctologist]

I'm so sorry to hear your experience. I'm hoping a second opinion will help to maybe find someone who can make you feel comfortable. The towel is not hurting anything. Thank you for commenting.

[@itssabrin4023]

I had hemorrhoidectomy and sphincterotomy 3days ago i am recovering now almost there's no pain comparing to the 1st day of my surgery and im having antipain and i can say i am doing well. I am having stool softers and Benefibers and sit baths 3times a day and a cream finally covered with a gauze, BUT the thing is on the second day after my surgery i was trying to take a walk around my room max 3min as the doctor prescribed. suddenly, i felt my stool going down through my leg all over the floor. what does that means??? i am afraid I'm having bowel incontinence. Please help !!

[@Veronica-tk9rl]

Hi, did this get incontinence get any better?

[@sudheerk82]

Is it got better?

[@creativesounds2024]

How are you doing now?

[@veekemichaels9153]

​@@creativesounds2024 u did the SURGERY?

[@creativesounds2024]

@@veekemichaels9153 yes

[@rockandblues3635]

trust me after 24 hours you will fell so painful and take long times to recovery

[@ninjaassassin4168]

Doctor how about chance of future incontence ?

[@yourfriendlyproctologist]

It's about 7% overall.

[@kt9190]

@@yourfriendlyproctologist Hi Dr. I had to speak to rob me at the age of 43 I am now in continent I am freaking out this is what old people get I had the opposite problem before getting cut chemist be reversed thank you

[@kt9190]

@See me Here the surgery

[@kt9190]

@@Capt.AtulDas no it has not can it be reversed? The sphinctoronomy

[@Capt.AtulDas]

@@kt9190 yes usually it takes like a month to get back to normal. A very few people unfortunately continue having this problem

[@UnfilteredPrajwal]

Hi sir I did my surgery 3 and Half months ago. The pain get healed but burning sensation is still there. It gets after something came into my eating. Sir what should be your advice for me ??

[@yourfriendlyproctologist]

You will need to see your surgeon.

[@nivabarahi7379]

After how many days your pain gone? I have passed 5 weeks but still painful

[@sijukify]

@@nivabarahi7379 how you feel now? How much time take to heal your pain. I had done 5 weeks now . Still paining

[@bartsimpson-k4i]

@@sijukifyhow r u now? still painful. ?

[@sapnasahoo882]

Sir I had fissure problem and a sentinel skin tag develop around anus .... ......no bleeding came in stool but feeling pain passing stool and after passing and can't stand for long time .... Can it be treated at home without surgery? Plz reply sir

[@susmitakumarisahoo19]

Hello Sir 🙏.....I have same problem I passed 2 month with anal fissure and sentinel skin tag problem .... Sir I am texting you with lots of hope plz sir kindly reply .... How to treat it at home....

[@yourfriendlyproctologist]

You can try out things I recommend in my videos, but I'm honestly not sure where you pain is coming from. Please see your local specialist.

[@sanpat2220]

How are you doing?

[@nevermindwydad]

Hi. Did your fissure heal without surgery?

[@nafiznasser968]

Why dont u discuss incontinence and side effects of LIS ?

[@yourfriendlyproctologist]

I have that topic in a video in the future. Can't fit everything in 1 video, otherwise my videos would be too long and you won't want to watch them! LOL! Stay tuned!

[@nd9662]

That’s the thing my doctor didn’t tell me this and signed me up for the surgery and now it’s been 7 days and I freaking out… I would rather have blood while shitting than shitting all the time😢 s

[@nd9662]

@SHS - Mini Vlogs the day I wrote that comment I had an emotional breakdown followed by a anxiety attack… i went to see the doctor next day with my family and he assured me that this will stop gradually, but I have to stop overthinking as that might disturb my healing… I tried really hard not to think about it for next few hours and next day I started to feel better… leakage gradually started to reduce and the wound also started to heal…a couple of minutes ago I took sitz bath and I always check if there is some poop before I dip my bum in tub… there was some leak and lil poop but it is 1/10 comparing to what I had at the time of posting of above comment. This Saturday I will complete my 3 week post op and now I am really hopeful that I will recover completely In next 2-3 weeks. I hope this helps.. In will share an update in next two weeks about the leak issue…

[@محمدالسنوسي-ر9ث]

Hi . Whay happend you . Did it stop

[@nd9662]

@@محمدالسنوسي-ر9ث hey…it’s been almost 1.5 month post op… things are a lot better I am still doing sitz bath and applying ointment twice a day…. There are not major fecal leaks at all for last 2 weeks… just some yellow liquid that comes out once or twice in a day or two…. I feel different when I poop … but I guess it is normal….there is no fissure, no blood and no pain now… just weird feeling as it not what it used to be… not sure how many more days I will have to continue sitz bath but I am planning to visit the doctor after 8 weeks post op for the check up and further guidelines….

[@nicelyguyt4324]

I.wish u were around my area !!

[@stevelm3479]

Watching this video while holding my Ass😢, I know those who watch this video are struggling with ass pain righnow😆

[@MohamedSayed-dj9ec]

is that okay to sit in cold water after anal fissure surgery or i must sit in warm water ?

[@yourfriendlyproctologist]

The temperature of the water makes no difference. RELAXATION is the key.

[@iyappanguru8841]

Sir I have done lateral internal sphincter surgery with anal dilution bleeding come after passing stool it is normal or not

[@supadupachicafly]

I tried every conservative method - ended up needing the surgery. Now, fissure is back :( What are the options now?

[@likhitha6038]

Hi after surgery did you got fissure again ? Did it healed now please reply😢

[@bartsimpson-k4i]

how r u now supadupachicafly?

[@nicelyguyt4324]

Dr Chung I’m confuse if an anal fissure increase your chance of getting an infection ( Perianal abscess). Is it worst to have an Lateral internal sphincterotomy involves more cutting more chances of infection ?

[@yourfriendlyproctologist]

Anal fissures do not increase your chances for an abscess. Thanks for the question!

[@naomideleon8363]

@@yourfriendlyproctologist is there a surgery to fix my incontinence after 7 months of lis surgery ? I'm so young !!! But completely regret it .. I'm part of the 7% of incontinence...is there a surgery to fix this ? I'm so lost amd deafeted😭😭😭😭😭😭😭😭😭😭😭😭

[@oussamadjabali9306]

@@naomideleon8363 how are you doing bro ?

[@likhitha6038]

​@@naomideleon8363Hi did your incontinence gone now? Please reply😢

[@Koubiak]

That payment terminal on the counter of a medical facility is going to trigger a lot of Europeans :D

[@arunkumar-jw9ps]

Thanks for all the videos doctor, it's very helpfull. My question is in LIS surgery he internal spincture muscle is cut permanently so that fissure should never occur? OR the spicture muscle will heal after few months after fissure healing

[@yourfriendlyproctologist]

I have several more videos on fissures and this surgery. Please watch them for a full explanation.

[@arunkumar-jw9ps]

@@yourfriendlyproctologist ya will do but still my question remains same. The muscle will heal or not

[@ferencferenc6849]

@@arunkumar-jw9ps no, they cut it so it will be weaker for your whole life. Thats why its risky because if the doctor cuts too much then you will have fecal incontinence forever...

[@keyonnasims7935]

@@ferencferenc6849 what does that mean?

[@rajanign7572]

Hi doctor I got LIS 6 mnts back.... I was ok for 4mnts but from 20days I feel my fissure has come back again... Any suggestions for this

[@yourfriendlyproctologist]

So sorry to hear this. Consider a video consult with me or see your surgeon.

[@shravanyalala]

I wish I had seen your video before I got my surgery done for fissures. I am facing incontinence sometimes and it is pretty distressing. Now that the surgery is done, i think I ha e to live with it. Anyway, would appreciate any suggestions to deal with incontinence. Thank you!!

[@yourfriendlyproctologist]

I'm so, so sorry to hear this. Definitely have a discussion with your surgeon.

[@shravanyalala]

@@yourfriendlyproctologist The bad part is my surgeon is in denial I hope he can acknowledge and gives me some guidance. Thank you!!

[@conjuroonthebeat5761]

@@shravanyalala any updates on your incontinence?

[@lachlanmcneish346]

I’m 7 days out from fissure surgery. No joke, this was painful. ( I’ve had a mastectomy and later reconstruction with expander …. Sucks ). I only took two prescribed pain pills and the switch to Tylenol. Once I passed my initial bm, having some incontinence …… hoping this is temporary until I’m healed completely.

[@TNTechy]

@@shravanyalala how are you brother. ?

[@michaelelkin4111]

Thank you very much for this great educational video, Dr. Chung. Is there another video of this type about anal dilatation? Do you think that this procedure is appropriate? Is it better or worse than LIS, and in which cases? The same question about botox injections. Many thanks again, I really appreciate your instructive videos.

[@yourfriendlyproctologist]

more videos to come!

[@nivabarahi7379]

How sitz bath helps to clear anus? Stool may be inside the wound. After sitz bath will our inside anus be clean?

[@yourfriendlyproctologist]

sitz bath therapy is about relaxation, not hygiene. in my opinion.