u/Economy-Ad-5313

Hi, hoping to get some advice!

Background: 26F, UK NHS, abscess burst and spontaneously drained about 1 month ago with antibiotics 🥲

Current situation: I saw a colorectal surgeon (CRS) last week, he did an internal assessment and thinks there is a fistula but still maturing since it has only been a month. He wants me to have a MRI to map out the tracts before planning surgery 🫣. Since the appointment, I've been having some pain and discomfort. Not sure if this has irritated the area and the abscess is redeveloping or if the area is just more sensitive? Maybe it has just flared up the haemorrhoids or just internal sphincter spasms? BMs are hurting a lot 😫!! And are very narrow, I'm also taking a daily Laxido (Macrogol).

Has anyone experienced anything similar? How do you know when it's time to head to A&E/ER or if it's better to wait for the CRS follow up? I hated being dismissed and sent back with antibiotics 😭. I went to the GP who has given a trial of Rectogesic (GTN) for the pain and Uniroid suppositories (Hydrocortisone). They have helped a little bit but the pain is still there, more if a constant dull ache around the BH 🥲.

The CRS is fully booked until mid June. Should I try and chase them up and ask to be reviewed by a different CRS? I would prefer to stick with the previous one due to continuity of care but would rather have this sorted ASAP 🙏. I can't help but spiral!! Any distraction techniques would be greatly appreciated!!

Thank you! Wishing you all the best! ✨

(26F UK) have always suffered from constipation and bowel issues for as long as I can remember. I've always been petite and naturally low appetite and very picky with food so this doesn't help things either. for the last 4/5 years I've struggled with haemorrhoids and fissures and took laxido on and off. Now I'm finding that 1 sachet of laxido causes diarrhea, and no laxido causes a blockage.

After doing some research, I've come to the conclusion that I have an outlet obstruction issue? Possibly anismus, especially since passing even slightly formed stools is incredibly difficult and very painful. It's hard for me to relax and I've tried everything e.g. sitz baths, squatty potty, belly breathing and the stool barely passes out if it formed. Only hot sitz baths help pass stool and even then it feels like something is tearing but no visible bleeding. I suspected a fissure due to the ripping like pain when passing stool but the GP said there was no signs of a fissure. I pushed for a trial of rectogesic to help with the tight sphincter feeling.

Anyone else in a similar position? Any advice? I am currently under investigation for a anal abscess/fistula and am waiting for further testing so hopefully this will help figure out what's going on.

I can't help but spiral 🥲 I would definitely appreciate some similar stories/positive outcomes!

I (26F UK) have always suffered from constipation and bowel issues for as long as I can remember. I've always been petite and naturally low appetite and very picky with food so this doesn't help things either. for the last 4/5 years I've struggled with haemorrhoids and fissures and took laxido on and off. Now I'm finding that 1 sachet of laxido causes diarrhea, and no laxido causes a blockage.

After doing some research, I've come to the conclusion that I have an outlet obstruction issue? Possibly anismus, especially since passing even slightly formed stools is incredibly difficult and very painful. It's hard for me to relax and I've tried everything e.g. sitz baths, squatty potty, belly breathing and the stool barely passes out if it formed. Only hot sitz baths help pass stool and even then it feels like something is tearing but no visible bleeding. I suspected a fissure due to the ripping like pain when passing stool but the GP said there was no signs of a fissure. I pushed for a trial of rectogesic to help with the tight sphincter feeling.

Anyone else in the same position? Any advice? I am currently under investigation for a anal abscess/fistula and am waiting for further testing so hopefully this will help figure out what's going on.

I can't help but spiral 🥲 I would definitely appreciate some similar stories/positive outcomes!

My GP referred me (routinely) to a specialist through NHS right to choose. The options are the local NHS hospitals and some private ones. If I was to select a private hospital, would all the consultations and tests be available on my NHS record to follow up with the GP? Or would it be available through the private hospital only?

The next available appointments for the NHS hospitals are around 68 days, the private hospital says 4 days. ☹️

And just to confirm, all tests/consultations/procedures done will be through the private hospital but will be free of charge via NHS?? That sounds like a dream??

I (26F UK) have always suffered from constipation and bowel issues for as long as I can remember. I've always been petite and naturally low appetite and very picky with food so this doesn't help things either. for the last 4/5 years I've struggled with haemorrhoids and fissures and took laxido on and off. Now I'm finding that 1 sachet of laxido causes diarrhea, and no laxido causes a blockage.

After doing some research, I've come to the conclusion that I have an outlet obstruction issue? Possibly anismus, especially since passing even slightly formed stools is incredibly difficult and very painful. It's hard for me to relax and I've tried everything e.g. sitz baths, squatty potty, belly breathing and the stool barely passes out if it formed.

Anyone else in the same position? Any advice? I am currently under investigation for a anal abscess/fistula and have a MRI and colonoscopy upcoming so hopefully this will also help figure out what's going on.

I can't help but spiral 🥲 I would definitely appreciate some similar stories/positive outcomes!