Sphincterotomy is wrong for Anal Spasm
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- Опубліковано 27 сер 2024
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What can cause chronic itching and irritating tingles if no hemorrhoids, lesions, rash, fistula, or STDs are found? How would methylene blue work and feel like?
I had a fissure for over a year and half. Horrible. Colorectal doctor was great and I finally healed it completely. Here is what helped me. Pelvic floor physical therapy, breathing exercises, stress management, colace, Balneol, gentle fiber intake and PRANICURA. My fissure healed completely in 6 weeks after that combo started and has been gone for the last year. Unfortunately, last week, I noticed some minor bleeding and pain. Back to colorectal doc and he diagnosed a very tiny flare of my previous fissure (he said the scar tissue is agitated from a recent hard poop and he also said I had an internal swollen hemorrhoid but he wanted to treat it with conservative measures to not agitate my bottom. He’s very gentle.
I’ve already ordered more PRANICURA, and I’m doing stool softener (colace clear) and increased water and fiber (I eat bran cereal and I take one Metamucil capsule in the evening). And I’m going back to PFPT. I’m expecting to fully recover within 4 to 6 weeks, I will definitely continue with the panicura because it worked perfectly last time. And my doctor agrees with you, he almost never does LIS, only Botox in cases of severe spasm. Luckily, knock on wood, my spasming is not nearly as bad as the last time because this one is much much much smaller, and I have great faith that I will heal it up quickly.
Thank you so much for this channel. It’s incredible and we need more voice is like yours to talk about these often embarrassing things that I surprisingly large number of people suffer from.
One last thing. I have found that it helps to lube up before pooping with a tiny bit of Vaseline or AQUAPHOR. Makes things slide out and heals as well. I do AQUAPHOR before poop, and after shower, pat dry and apply PRANICURA. Amazing product. Everyone should at least try it! Also I’ve found that the least irritating poop for me is formed and soft but not too bulky. Fiber is great but I can’t overdo it, and colace clear is a miracle. And of course, PRANICURA!
how r u now dear?
Thank you Dr Chung you have given me back my life. I'm still waiting to see a consultant here in Scotland where waiting lists are long . I used your protocol. I've self healed thanks to you 🙏💗
Woohoo! Congrats!
When I have hard stool.anal spasm comes.plz give some natural way.
what is the protocol , if it is allowed to share it ???
@@yourfriendlyproctologist I have appointment
My LIS worked for me. I don't know if it was soley responsible for my recovery or not. Massaging the internal muscle with a glove and lubricated finger was extremely helpful after I got over the initial awkwardness of it. Maybe it sounds weird, but somehow exploring in there and knowing exactly where the wound was and massaging the area helped everything relax down.
Hey will it help me with my tight anus? I’m having a really tight anus nowadays. I’m not able to poop properly. When I poop I get small fissures
@@pratikn5486 it could help along with other relaxation techniques.
@@pratikn5486ask a doc
@@pratikn5486I also do have a tight anus and I feel constipated....., is this same in your case as well??
I did LIS month and half ago and it’s the best thing I’ve done to get rid of the pain I had from my brutal anal fissure
absolutely in the same boat just that I had mine 2 months ago. had a minimal LIS and the fissure pain immediately went away. Only had 2 incontinence episodes in the first month now everything is back to normal and I can eat anything I want. I was battling the fissure for 9 months prior.
I’m on month 3 of pain!!! I️ have purchased numerous ointments cream and constant warm baths. This is the worst every and I need my life back.
@@and0siogo easy there tiger. If you become careless the fissure will return. 😔
@@Astevens251I’m so sorry. I hope you find a way through it.
Hi buddy there is any problem to hold GAZ or STOOL ?
Hey Doc, thanks for all the content! Unrelated to this vid but for a future video I would love to learn about 'incomplete evacuation'. What it is, what causes it etc etc. Thanks.
Hi Doctor can you please talk about LASER SURGERY for Hemorrhoids external and internals. Thank you
Thanks Doc ! This video will sure encourage a lot of people
Really good information b4 i see proctologist. Thank you Dr. Chung!!!!❤
My proctologist told me about Botox and Lis but he said LIS was last option, that’s when he told me about putting me under and inflating a balloon to stretch the muscle. So I decided to just stretch it with a dilators. Been pain free for a month.
Happy to hear dilators worked for you!
I’m trying dilators to stretch it out and get rid of my mild anal stenosis that was caused by hemorrhoidoctomy …. Fingers crossed
@@mohammeds00it works for you
Thank you for helping us understand what is going on.
Thank you Dr. Chung. I am forever grateful for your videos. After being misdiagnosed for a year, it is a relief to finally find your helpful information and insight. I finally found a colorectal surgeon to perform the botox procedure. What are your thoughts on recovery for this procedure?
Hell dr chung , you are a great inspiration and I truly believe you , have not gone for LIS cured by almost 75% my 6 months chronic Fissure been in pain for almost 6 months and finally now with your consultation online able to heal the fissure at the same time reduced anal spasm
I would definitely recommend anyone who’s going thru this to consult dr chung
Please don’t go for surgery
Start stool softener, zero spicy food, most important pelvic floor exercises and kegels , walking helps a lot more walking is better , and apply nifedipine + lidocaine but use a canulator and under cream inside and also pranicura for itching and calming burning sensations
Dr. Chung, I enjoy your videos and they've been a big help. But first hand testimonials disagree with you on this. They are all over youtube and google. Even in your own comment sections.
Que triste nose lngles y sus temas son tan interesantes.
Me gustaria con titulos en español.
Mis respetos para Dr.
En la parte superior derecha del vídeo hay un ícono de engrane, de click, posterior a la opción de subtítulos, traducción automática, español
What was not addressed was what actually causes the spasms? Prevent the spasms prevent the fissures right? Botox with a potential 6 month window seems like a stop gap measure.
Laser LIS done
No incontinence
Pain free now from fissure
So sir wondering if the fissure was your main concern or spasm..
@@robintmi fissure with some spasm as well
Spasm I guess was not letting fissure heal
@@rituraj303sir i have chronic constipation can i get better with sphincterotomy
@@rituraj303 sir apki thik ho gye fissure ki problem??
@@deepsakarwal59 meri 200% sahi ho gai h.
Dr Ram Goel , Jodhpur, Rajasthan best fissure surgeon of India
sir pls do make a video on overuse of laxatives and how to reverse it
I did Botox last year… I got about 2 months of relief and then it came back worse and I’m having difficulty building back my pelvic floor muscles! 😢
Take stiz bath in warm water half hour or more every day..heat will realx
See a pelvic floor physical therapist. Changed my life.
@@babyboy1971are u completely healed?
Is this procedure ok during a fistulonomy for a fistula ?
Can you do a video addressing “key hole deformity” as a result of fistulotomy?
What about spincherectomy for chronic constipation?
Hi Dr. Choung ...
is anal spasm causing fissure, or the fissure causing anal spasm... how to find out
HI DOCTOR CHUNG I hope you doing well! Is the hemorrhoids nerves related with toes nerves because everytime I have that stinging pain in my hemorroid same pain in one of my toes😱😱 😭😭😭😭
What! You want people to buy a cream? Instead of get needed surgery? Thats a problem. Menthol does nothing for spasm.
Lis didn't work for me, still had the fissure after that and gained an abcess and fistula on top. Now after I had a fissurectomy and fistulectomy with cutting seton, it's been 7 months and things are going alright. I don't recommend surgery for anal fissure, I wish I've never done anything like that....
Excuse me i did thise procejer 6 month ego but not compley free symtom😢
I have a question
Is your fissurectomy wound completly close and heel?
@Fatemeh Hasanzade no I am also not free of symptoms, I still have some pain after bm, fissurectomies take a LONG time to heal, don't worry you are not alone.
😍😍
I healed my fissure by using hemagel hydrophilic cream + no fiber diet and in 5 days it was gone and ended my 6 months of suffering I even thought about getting LIS but i’m glad i didn’t and tried the cream instead so maybe u should give it a try too
@@chora2172i would like to try this cream.. you mentioned no fiber? Bc that’s what everyone I’ve seen has recommended. Thank you
Yes Pranacura....💥💗🙏
Doctor i have fecal incontinence post sphincterotomy + fissurectomy even after 7 days. Is this normal
can you please do an educational video on "Prolapsed anal fissure"
This is so true! 😢 Where I live in Southern California, we have to wait to be seen by a doctor……..even with great insurance in a very renowned Medicare centers…🤯😳😰 …..and then the Dr ……says ……do an enema and then I’ll do an anoscopy……even before they even hear what your complaints and symptoms are.. RIDICULOUS !!!!!
And I agree Pranicura is a great soothing cream. It will not cure, but it will smooth. 💕 thank Dr. C.
How to contact you please?
I haven't found any surgeon to do botox even though I ask them.
I am calling your office on Tuesday. Things are too bad.
Most drs here only give creams, botox or lis. No other options. Interesting about dilators.
Hello Doctor, do you know if there is a cure for Levator Ani Syndrome? The specialist that I am seeing says that there is no know cure and I have had this for 1 and 1/2 years now. I am unable to sit in a chair for any length of time due to the pain, I hope you have a solution,
I will say my methods have helped many people. Does it cure everyone? Time will tell.
@@yourfriendlyproctologist Can you please describe your methods? Or have you put out a video lately on that such topic?
I had a “minimal” LIS with v-y flap procedure 10 years ago for stenosis after a hemorrhoidectomy. Some scar tissue there and still have difficulty with evacuating. Any suggestions?
I think your case can easily be resolved at Healing Hands Clinic in India..., in the state of maharashtra in Pune city...many foreigners do come there with complex problems and get their problems resolved.....I hope it will work for you as well...
Maybe try dilators
Are these spasms the same as "proctalgia fugit"?
thank you for this! unfortunately I am in this exact position and I have been back on forth on LIS. I should say no one wants to do it and I don't want to unless I knew it would work and this is an interesting perspective.
I had a surgeons inject botox into my puborectalis and internal sphincter 100IU and it to be honest not only did I not feel anything relax over the whole three months, it mostly felt tighter! was harder to pass gas etc. having said that my pain levels were somewhat lower during the 3 months.
I am tempted to try again with the botox but why is it that no proctologists in the UK seem to be familiar with this because I now feel like maybe he did not inject enough or in the right places. I was under general anaesthesia at the time. WIsh I could afford to fly to you and get it done by you cause i know you would get it right.
Have you tried dilators? Help stop spasms and been pain free since I started.
My doctor done lis but after i feel pain for 3 month please help me dr chung what to do😢😢😢😢
Hello, I have a question, I had hemriodactmy 2 years ago and since then I have some pain specially when sitting. I went to a specialist that said I have no problem and the only thing she see (and feel) is high tone of the muscle. she sent me to do a dynamic perineal us. I also been to a PT that said I have high tone muscle. I don't have constipation. do you think my pain is coming from tight muscles?
Should sphincterotomy worked for mild stenosis
Please help me doc
Is kegal exercise harmful to fissure patient ?
Is this the same laser surgery for fissure and they say it's simple just for 10 min. ?
Please help me
Hello doctor. Can you please talk about botox for anal fissure?
I have anal spasm when I have hard stool.I have multiple chronic fissure for eight months.plz give some tips to relief anal spasm.
Reply sir
Nytroglycerin ointment
Laser sphincterotomy is best for fissure and spasm
For god sake stop putting fingers inside anus for eternity
i too suffered for 8 months and finally laser sphincterotomy helped.
When did you get you laser sphincterotomy done? How you doing after that. Please elaborate on that.
@@deepsakarwal59 may 2023
I am all fit and fine till date no reoccurrence, no incontinence
I got it done at jodhpur, Rajasthan
My surgeon Dr Ram Goel is very Senior general surgeon.
Yay 🎉
I did a spincherectomy procedure almost a year ago for my chronic constipation. Now I'm a little insecure with the look of my anus. Is that normal
Bhai ap poori yarah se theeek ho gye kya
Mujhe b constipation hai
My fissure was very bad, had to be cleaned up (debrided) and that was a fissurectomy. He did the spincterotomy because my passage was anatomically too small. IT CURED ME! IT WORKED! Botox was not gonna fix the fact the sphincter was anatomically too small. He was not the first doctor who told me that. So you are wrong, in my case. You are telling people to ALL NOT GET SURGERY when you know all people are NOT THE SAME. I am done with your website. Right. You use it all the time for your own hemorrhoids. But if you keep using it, that means you NEVER GET BETTER! Shame on you. You want to sell your product, that's all. Just SHAME ON YOU!
👍🙏
So Pranicura is better than a 1 cm cut? 😂😂
How can we believe whatbyou say if you're here to advertise a product? You lost all your credibility!
I would rather use cream, take medicine than go for the cut. The post surgery takes longer to heal, cause more heartache, butt pain, infection, follow ups etc😢
Please help me