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Anal Fissure????????

Confused1972
Posts: 6
Joined: Oct 2012

Hello, Everyone. I am new here and I am for information. I have not been diagnosed with cancer; however, I go see a colorectal specialist on the 12th. Well, back in 2008, I had some rectal bleeding to the point where all the water in the toilet bowl turned red (no pain).This happened for about a week before having a colonoscopy which found diverticula and small hemorrhoids. Recently, well, about three months ago, I suddenly began bleeding with lots of rectal pain (also changing the water). I had a CT Scan that showed a soft tissue structure; however, the report stated it could have also been stool. I then had a colonoscopy that found no diverticula or anything else for that fact. He said only a couple small hemorrhoids. Another CT Scan (this is due to unbearable pain)that showed nothing; however said I have an enlarged liver. I am so frustrated at this point. The idea now is that I may have a anal fissure; however, I had no cause for such to appear out the blue. I have been using nitroglycerin cream, but with only minimal effect. The best thing for me is to not have any bowel movements.I have movements two -three days in a row, the pain returns with lots of bleeding. Am I over-reacting? I'm just thinking back to 2008 with the first round of bleeding which we never found a cause for and now again 5 yrs later in full force with pain and bleeding. Also, I did have a digital exam by an ER doctor; however, he referred to the specialist I am going to see. Anyone have anything similar?

Confused

sephie's picture
sephie
Posts: 530
Joined: Apr 2009

keep trying to find a reason. many docs misdiagnose anal cancer as hemmy or fissure ( as mine was for 1 year)..but it does seem that you have had CT 's and there is nothing . probably you are fine but bleeding is scary. good luck. sephie

Confused1972
Posts: 6
Joined: Oct 2012

Thanks for the support. I see the colorectal surgeon on the 12th. The CT Scans had mixed findings. One showed a soft tissue structure; however, didn't state for sure what it was. That CT scan was with contrast. The other CT scan took images, and then they later added contrast. Not sure how this works. I guess I am most concerned since I had my first bleeding episode with no pain in 2008 and they never found the cause. Hopefully the specialist will go ahead an biopsy the area. The nitroglycerin helps minimally, but I have been sucking down miralax and metamucil to hopefully keep the pain minimal. Not to bee to graphic, but it was so bad that even if I passed gas while on the toilet (no bowel movement) the toilet bowl would be sprayed with blood. I hate the pain, but it motivates me to keep pushing.If it weren't for the pain I would probably blow it off as a hemi. Oh, yeah, even when I had the last colonoscopy, no mention of a fissure, and only a couple of small hemis. He was actually going to band the, while he was doing the procedure.

mxperry220
Posts: 361
Joined: Mar 2011

Have you seen a colo rectal surgeon? If not I might suggest you see one. They are more trained to diagnosis anal cancer.
Mike

sandysp's picture
sandysp
Posts: 811
Joined: May 2011

I agree with Mike. You need to keep following through and most doctors just don't know what they are looking at until a tumor gets pretty ugly. For one thing, you have to resolve your pain issues one way or another. Pain is unacceptable in this day and age.

You are in my prayers.

All the best,
Sandy

Confused1972
Posts: 6
Joined: Oct 2012

Thanks, Sandy. I see the specialist on the 12th. I will post an update after my visit. My prayers are with and all here, as well.

God bless!

Catina

Marynb
Posts: 1134
Joined: Aug 2012

Try not to worry, but go to see a colorectal surgeon. I was misdiagnosed for 5 years.

Confused1972
Posts: 6
Joined: Oct 2012

If you don't mind, what were your symptoms?

torrance
Posts: 118
Joined: Jan 2012

Boy, the list you will get may drive you over the edge. It is amazing how varied the symptoms are for all of us. Don't read too much into what you hear here or find on the internet. Get yourself to that colorectal surgeon and get some clarity.

For me, some bleeding with bowel movements, no pain, a LOT of itchiness. Then a couple days before my scheduled surgery a little lump started to protrude. HTH

Joanne

Confused1972
Posts: 6
Joined: Oct 2012

Thanks, Joanna. Was the lump hard? I have checked back there and notice when I push, part of my anal verge skin rolls out and is pointed (hope I am describing this right). It is not painful to touch and is soft. For the last few days, I have noticed the pain has subsided, but I continue to have a lot of blood. When I try to do #2, seems it doesn't want to come out and my bottom is having to stretch more than what feels like normal. I took more miralax and metamucil just in case I may be constipated. Thanks for sharing.

You are in my prayers.

lizdeli's picture
lizdeli
Posts: 521
Joined: Jul 2009

I hardly had any symptoms, just a spot of blood, literally a spot about once a week over the course of 4 weeks. No pain, no bowel issues. Needless to say I was shocked when I received the diagonosis of Stage IIIa. As others have said the symptoms vary greatly. Hopefully in your case it is not anal cancer. But you are doing the right thing to get checked out thoroughly so that you have peace of mind.

Please keep us posted.
Wishing you the best,
Liz

Confused1972
Posts: 6
Joined: Oct 2012

Will do and thanks. Really panicked today, the most blood I have seen since this has started--no pain at all. This is not something I feel comfortable talking openly about. I am happy I found this blog. Thanks for the support.

mp327's picture
mp327
Posts: 2949
Joined: Jan 2010

I don't believe you are overreacting at all and I'm glad you have an appt. with a colorectal specialist on October 12th. I hope you'll get some answers then. Please ask for an anoscope exam. It can be done right there in the CR doctor's office and no prep is necessary. It is specifically for viewing the anal canal, which is often overlooked on colonoscopy exams. I am concerned that you are in so much pain and bleed so terribly. Anal tumors are often missed by doctors, either on colonoscopy or with digital rectal exam. My first doctor told me I had a bleeding hemorrhoid! My CR doctor took one look at me with the anoscope and told me I had cancer. I hope in your case you don't hear those words. Unfortunately, the CR doc was right in my case.

Please let us know what you learn on the 12th. I hope there's nothing sinister found.

Marynb
Posts: 1134
Joined: Aug 2012

I wonder how many of us were misdiagnosed and how many have died because of lack of skill or knowledge in the medical community. I was misdiagnosed for years. First, by my primary care MD, who told me that it was hemmorhoids for years! She even acted annoyed when I brought it up at every annual exam. Years. Finally, she referred me to a Gastrointestinal specialist. I saw hom for months and he never even examined me. Really. He told me how to treat the hemmoroids. I saw him for 6 months. Now this was not just any doctor. He got doctor of the year award in the state and is the chief of gastro. At the hospital, and a distinguished professor at the Medical school. Unreal. His nurse got snippy with me when I called after months of treatment to tell her I was in pain and it was getting worse. At that point I went to a colorectal surgeon and he got me into the hospitzl right away for biopsy. Unreal. Years went by. I wonder how we can increrase awareness of this dreadful cancer. i am sure there are unnecessary deaths.

sephie's picture
sephie
Posts: 530
Joined: Apr 2009

told hemmy. over a year , i had a dozen DRE from proctologist... and a colonoscopy by same procto. he kept saying "HMMMMM you are bleeding but it is not cancer... Farrah Fawcett has anal cancer but this is not what this is. hmmmm. " i finally got smart and went out of town to colorectal surgeon,... he did biopsy and here i am. alive and well , so far. thanks sephie

Marynb
Posts: 1134
Joined: Aug 2012

I wonder how many of us were misdiagnosed and how many have died because of lack of skill or knowledge in the medical community. I was misdiagnosed for years. First, by my primary care MD, who told me that it was hemmorhoids for years! She even acted annoyed when I brought it up at every annual exam. Years. Finally, she referred me to a Gastrointestinal specialist. I saw hom for months and he never even examined me. Really. He told me how to treat the hemmoroids. I saw him for 6 months. Now this was not just any doctor. He got doctor of the year award in the state and is the chief of gastro. At the hospital, and a distinguished professor at the Medical school. Unreal. His nurse got snippy with me when I called after months of treatment to tell her I was in pain and it was getting worse. At that point I went to a colorectal surgeon and he got me into the hospitzl right away for biopsy. Unreal. Years went by. I wonder how we can increrase awareness of this dreadful cancer. i am sure there are unnecessary deaths.

Marynb
Posts: 1134
Joined: Aug 2012

I wonder how many of us were misdiagnosed and how many have died because of lack of skill or knowledge in the medical community. I was misdiagnosed for years. First, by my primary care MD, who told me that it was hemmorhoids for years! She even acted annoyed when I brought it up at every annual exam. Years. Finally, she referred me to a Gastrointestinal specialist. I saw hom for months and he never even examined me. Really. He told me how to treat the hemmoroids. I saw him for 6 months. Now this was not just any doctor. He got doctor of the year award in the state and is the chief of gastro. At the hospital, and a distinguished professor at the Medical school. Unreal. His nurse got snippy with me when I called after months of treatment to tell her I was in pain and it was getting worse. At that point I went to a colorectal surgeon and he got me into the hospitzl right away for biopsy. Unreal. Years went by. I wonder how we can increrase awareness of this dreadful cancer. i am sure there are unnecessary deaths.

mp327's picture
mp327
Posts: 2949
Joined: Jan 2010

Your story mirrors so many others. It is truly sad that doctors continue to diagnose people with "hemorrhoids" with no visual of the area taking place. How the hell do they know what it is without seeing it? My internist diagnosed me with a bleeding hemorrhoid upon digital rectal exam, exclaiming "there it is!" as if she had found a gold nugget or diamond. Oh, it was there alright--a freaking cancerous tumor! Luckily for me, I was overdue for my first screening colonoscopy and the colorectal surgeon to whom I was referred by the internist for "hemorrhoid treatment" did anoscopy on me in her office on my initial consult after hearing of my symptoms. She told me right then and there that she was 99% sure I had cancer, which was confirmed 2 days later by biopsy during my colonoscopy. The old hemorrhoid diagnosis has been done to death--literally for some. I don't believe that doctors, as a general rule, like to deal with that part of the human body--like they're suffering from "analfobia" or something. Any doctor that will not do a simple DRE on a patient who has rectal bleeding should have become an attorney instead of a doctor. To me, it's part of the job, whether they like to do it or not. Okay, off the soapbox for now!

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