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fistula

I had UC for 15 years & had the jpouch surgery in 2005. The first 10 years or so afterwards I had almost no issues, but the last 4 have been extremely rough with almost constant fissures. A fistula has developed & I have been in excruciating pain. I can't tell if the pain is coming from the fistula or from a fissure. I have been to 2 GI doctors and 2 GI surgeons and I get different answers from all of them. I feel like they have no idea what they're doing, and I don't know what to do.

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