Reply to "Advice needed :("

Jan DollarModerator, RN, retired

Gee, anal fissure adds a whole other dimension to this! That one little thing can completely rule your life and make it so you cannot eat, sleep or even concentrate on work.

When those creams fail, the next option is sphincterotomy, either surgical or chemical. I vote for the chemical, which is Botox injections. The effect is temporary, wearing off in about 3 months. It can cause incontinence while in effect (same as surgical sphincterotomy).

So, yes, there are things to discuss. A diverting ileostomy could aid his tolerance of the sphincterotomy side effects and/or whatever is going on now.

Jan

3/2/147:40 PM

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