I haven't posted in a while. I have UC in partial remission and have not had surgery. What I thought was a hemorrhoid turned out to be a fissure and "sentinel pile." The very kind colorectal surgeon who was able to get me in in quickly, as it is VERY PAINFUL, put me on Nifedipine ointment twice a day for a month and said it had a 50-60% chance of curing it. The next treatment, should Nifedipine fail, would be botox injections. He said surgery should be avoided as it could compromise future j-pouch function. So far he seems to be saying all the right things.
My questions are: Does this sound like an appropriate approach? Should I go ahead and try to be seen by Dr. Varma, our regional J-pouch expert as she would be one of my top two choices to do a j-pouch surgery, should it come to that?