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Forum Name: Surgery Topics

Question: Sphincterotomy and post op DRE?


 rappelling - Sat Nov 07, 2009 12:37 pm

Hello,

I developed C-diff from a dose of cipro in June 2009. It became a severe case requiring hospitalization and 21 days of flagyl. Continuing pain led to a colonoscopy that found three pre cancerous polyps (Grandmother on Mother side had colon cancer). Following these severe diarrhea for both of these I developed a chronic anterior anal fissure. I had a sphincterotomy for the fissure in early October 2009 after weeks with stool softeners and nitro creme did not heal it. When I went in for my two week post op exam the doctor performed a digital rectal exam on me. He had performed this exam on every visit except my initial one. This procedure post op resulted in severe pain for 36 hours following the exam. Since that exam I have continued to have pain and this week (two weeks post exam) I am again having pain during, after and inbetween bowel movements and with exercise. It is possible that this DRE post op could have delayed healing or could my initial fissure be opening up again?
 Dr.M.Aroon kamath - Tue Nov 10, 2009 1:50 am

User avatar Hi,
Following a sphincterotomy, generally it takes about 6-8 weeks for the symptoms to resolve.
DRE, although at times induces significant pain in some patients,helps in some cases to overcome residual sphinctric spasm.Sphincterotomy, just like any other surgical procedure has its own failure rates as well.
I hope you are on stool softeners.Hopefully, your pain should subside soon.
Best wishes!

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