Have an apt with a new surgeon tomorrow, 2 hours before I go he wants me to do a fleet enema. I am nervous about this for two reasons, I have horrible fissures and I have not done this since the pouch. Will it be OK, will it hurt the pouch? How will he be able to do an exam when I am in so much pain and so incontinent. Help! Judy K
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Just be gentle when inserting the enema tip and when squeezing the fluid in. It won't damage your pouch, especially if you go with the tap water Rachel suggested. A little extra lube might make the process easier for you.
Agree with the above. Also, be sure to tell your doc you know you have painful fissures before he does an exam. He can use topical anesthetic so it will be less painful.
Jan 
Met with the Surgeon yesterday. He wants me to adjust the timing of my fiber supplement and all my meds in the hopes they will be more effective when taken at optimum times during the day. He really listened to me and does not want me to jump to be rid of my pouch so quickly. I will follow his advice and will see him again in 2 weeks to see how I feel then. I am hopeful again that this just might work, with this Doctor's help. I like a surgeon that is not in a hurry to cut. Fingers crossed!!! Judy K
Judy, have your fissures been treated? Options include nitroglycerine, nifedipine, and Botox injections.
