I am curious and I'm probably just paranoid here but has there ever been a case of someone losing there jpouch due to really bad hemorrhoids or fissures? I just had my takedown almost a month ago and all is going pretty good except for what a believe is a pretty large hemorrhoid. I am using a bidet and cream but it doesn't want to go away. My surgeons nurse will look at when I go for my post op in 3 weeks. She does not want to prescribe anything other than lidocaine and alternate that with the Prep H if I choose to. Said it could be a small tear that's causing the swelling(fissure), but wont know till they see it. I can feel I with my finger when applying the cream. She said people with pouches they tend to just leave them alone. I know there are procedures and last resort surgery but obviously if you have a pouch you really don't want to be messing around in that area. But has anyone ever lost their pouch due to bad hemorrhoids or fissures? I am just starting to panic, cuz nothing ever goes smooth for me for all that know my history here..
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There's no way to get in sooner? Never experienced either so can't give any advice, but you should really insist on coming in sooner since you are concerned.
I understand your concern but try your best to remain positive. That is actually funny coming from me...hahaha. Anyway, I have had a few fissures along the way and that never brought up the possibility of losing my pouch. All were successfully treated with either nitroglycerin + lidocaine ointment or nifedipine + lidocaine ointment (as I said in another post). I never had a hemorrhoid so can't comment there. I totally understand your concern and craziness. I can convince myself I have this or that in a matter of minutes sometimes depending on how I am feeling. It is tough when you have pain b/c whatever is happening you know it is not "right". I am currently diverted after 23 pouch years and not sure if I am going to save my pouch or not. If I did have my pouch re-done and had any sort of symptom along the way, I would jump to the worst conclusion also. It is the nature of this whole adventure in my opinion. I personally don't think you are at risk of losing your pouch over this but I do empathize with how you are feeling!! Sending positive thoughts your way!!
Never heard of pouch failure due yo hemorrhoids. Fissures, yes, but they have to be quite severe and unresponsive to treatment. This is particularly true if the fissures are perianal Crohn's.
Try not to let your mind go to worst case scenarios.
Jan 
Try to remain calm and if possible try to get your appt. moved up.
Hang in there! I've had fissures, pain and even a small bowel obstruction. They've all passed for now! Keep the area lubricated!
Feel better❤️
Poncho
I am experiencing this issue right now. I have multiple fissures that will not heal with standard treatments of rectiv and nifedipine. I have what feels like an internal skin tag due to this and narrowing of the anal canal. I'm being evaluated over the next month and being seen at Ckevelabd Clunuc. I have had no diagnosis of crohs , yet I have continual issues w a stricture at the anastomoses which is likely the culprit of the fissures. I am hoping I do not lose my pouch but chronic anal pain is no fun. I'll let you know how I make out after further testing.