Hello! I have had a nasty fissure for about a month. My surgeon did a pouchoscopy 2 weeks ago - he said my pouch is very healthy.
But I was right - I do have a fissure, diagnosed as deep and severe. On the fissure biopsy, it said the fissure was inflamed but it did not point to crohns disease. thank god!
however, my surgeon is baffled as to how i got this fissure and why its not healing, because my pouch is healthy. it could be related to pelvic floor dysfunction. i am seeing a pelvic floor physio for pelvic spasms and pain during intercourse anyway, so he has referred me to look into this too. in my heart, i think my pelvic floor is the culprit but my surgeon is not convinced.
i was prescribed nifedipine + lidocaine ointment, he said to apply as much as tolerated throughout the day. he said if this fissure does not heal in 8 weeks, we will try botox. if things are still inflamed after that, he said we may have to assume chrons as the cause. but he would need to consult with my GI at that point. He is very doubtful it is chrons, as the biopsies said it's not and he saw it himself, not believing it is chrons. and i only have the one isolated fissure.
i just really dont want to have chrons! i have only been using the ointment for 2ish weeks, so i may just need to wait longer for healing to occur.
has anyone been through something similar and come out the otherside?