u/Individual-Let6390

Any thoughts on this? Wellbutrin has been life changing in helping me manage my ADHD. But it has caused constipation and harder stools that have led to a chronic fissure for me which now requires me to have surgery to address. So I have to come off the Wellbutrin because miralax, hydration, and dietary changes have not helped me in this department.

I love this medication and don’t want to come off of it but I don’t have an option at the moment. I already take zoloft but don’t want to increase it because it gave me gastritis.

Hello all!

I’m taking the plunge and have scheduled my LIS surgery for next month. Hoping they may be able to schedule me sooner.

After conservative treatment has failed to heal my chronic fissure, I am opting to do LIS. This was my last resort, and I’ve done everything possible to avoid having surgery, however I would like to be free of this pain and get back to my baseline of good health. I know in the scheme of things, this is very painful but it is also *minor* in terms of health issues. I say that without understating how much pain and disruption to life it causes.

I am hopeful LIS will help me get back to normal and will keep everyone posted on my experience.

Timeline summary:

November 2025: fissure starts, received nifedipine lidocaine ointment to use

- in the interim, every time it would be close to healing (no more blood, no pain) it would retear. Pain would last for hours after bowel movements.

December 30, 2025: botox injection under anesthesia

- healing was not linear, some days were good and some not so good

Mid to end of February 2026: relief and healing begins

April 2026: Colorectal surgeon does exam and says my fissure is still there but if it is not giving me trouble it is ok to let it keep healing. Said to contact her if pain returns.

May 2026: fissure makes a comeback with pain much worse than originally. pain seems to be isolated moreso to bowel movements (i’ll take it!) at this moment.

- conservative measures have not helped in the long run. i take miralax daily, work with a nutritionist on my diet and im so meticulous about everything i eat, i stay hydrated, and i do pelvic floor therapy. i try to walk and do a bit of yoga but nothing to irritate the pelvic floor. as of today I am no longer taking the adhd medication that i believe led to my fissure as it causes constipation and harder stools.

I am a bit nervous for LIS but more excited because of its high success rate. If you have any advice for after surgery, I’d love to hear it!

Good lord I thought I knew what pain was. Retore yesterday and now experiencing bad impaction (don’t want to do manual break up because 1. too tight and 2. don’t want to make it worse)

I’m not above going to the ER for this. I don’t know what they can do, I don’t know if an enema would help or make it worse, and I know painkillers will make constipation worse.

I will no longer take the medication that is causing my constipation and I will be calling my surgeon as early as possible tomorrow to schedule LIS.

I have never experienced something so horrible. Fissures are unfair.

After more than 2 months of healing and bliss my fissure has made a come back. I feel like I’ve done everything “right” to ensure this wouldn’t happen again. The pain I’m experiencing is unbearable to the point where i cannot move. I cannot go through this again. The pain is so excruciating and nothing is helping me today not baths not ice not motrin or advil.

Saw my colorectal surgeon last week and she said I still had the fissure (but it was healing really well) and wasn’t experiencing pain blood or anything. This feels like a huge set back. She told me if it get a retear a 2nd botox injection likely won’t help and that I should probably do LIS.

I was trying to avoid surgery but my sphincter tightness hasn’t improved much and now it definitely won’t be any better.

I am going to contact the surgeon to see if I can schedule something but in the meantime, I think I need to stop taking my adhd meds/wellbutrin which has caused me constipation which started this whole mess and i don’t think is helping me to heal. So im pretty scared about that because my mental health has been incredible for the first time in my life (even despite a chronic fissure)

I also have an international trip planned in 10 days and I will be taking a 3 day in person course and now I’m so nervous I won’t be able to go and will have to cancel the trip and will end up losing money.

I feel so defeated. I’m definitely spiraling but I think it’s because the pain level is as bad if not worse than it was before I started healing. This is the most awful thing I’ve ever experienced in life physically and I’m trying to remember it can’t possibly last forever but in this moment I just feel so upset. I can tolerate some discomfort but the searing/burning/sharp glass pain is a nightmare.

There has to be a light at the end of this tunnel. I will not give up until I get my life back and I can say with confidence I am healed.

Hey to my fellow trans men! I have a situation that’s somewhat trans related and I wanted to get some advice.

A few months ago, I met another trans guy at a trans support group in my area, and we became friendly, hung out a few times. I am in my early 30s and he is late 20s. He ended up asking out one of the psychiatry interns that helps run our group and was put in the patient zone (because you obviously should never put someone in that position) and he vented to me about it. I was nicer than I should have been, because i felt it was extremely inappropriate of him. I tried to be supportive saying “hey you thought you were getting mixed signals, you asked a question, got an answer, and now you have clarity and it seems like you accepted their response and aren’t pushing it which is good”.

The next week he calls me 5 times even though I am busy and not picking up. When I call him back he spends 40 minutes accusing me of telling the lead psychologist about his crush. 1. I literally do not care about your life like that 2. I didn’t talk about your business with anyone and 3. Obviously, the person he asked out reported it to their supervisor because that’s just what you would do as a mental health professional, so you can figure out how to respond to the patient and/or in the event the scenario escalates, you have a record of events. He kept saying they told him they didn’t say anything which I think he was just making up in his brain.

A few days later he says he doesn’t want to be friends anymore because he can’t trust me. I don’t push back because I realize how immature he is and I don’t want to be friends at this point.

2 weeks goes by, we see each other in a virtual support group once, and then last Friday we see each other at an in person support group but don’t interact. Less than 24 hours after seeing him in person, my car is keyed in front of my house. The entire car- drivers side, front, passengers side, and my windshield. Not a small scratch, but scribbling back and forth over my whole car. So I will need a new paint job and windshield and will be without my car for 2 weeks- 1 month. One of my family members must have interrupted him doing this, because they saw him very close to my car but he must have walked away quickly enough that they didnt see him actually do it. The description I was given matches his race, build, and that he has glasses. I have a video of it, though it’s not clear enough to see his face. So I can’t be 100% certain, but it does match his build and size.

Today I see him at a trans event hosted by the place that runs the support group (it’s our doctors office which specializes in trans health) and I decide I will approach him. I lay everything out, and he basically admits it without saying the words. Multiple times. Which I have recorded on my phone (my state is a one party consent state so I did not need his approval to record). The lead psychologist was also present for half of the conversation. And she told him directly that I did not share his personal business with her/the office. He was extremely rude, agitated, and defensive. So I got my answer.

Now my question is- when I file a police report, do I or do I not name him? Aside from being trans, he is also not yet a US citizen. Before the conversation, I felt like I did not want to ruin someone’s life over this. But the fact that I know for certain now and that he couldn’t even take accountability really pisses me off. I told him to stay away from my house, property, family, and me. He is unhinged and mentally unstable so I am concerned for my family’s safety (less my own, we are both small guys but I can take him easily if I have to). Now, I truthfully don’t care what happens to him because it’s not my problem or fault. I did nothing but be a sincere and genuine friend (tried to learn his native language, made him a card for a traditional holiday, invited him into my home [mistake, clearly] and was there to listen to him even when I thought he was wrong about stuff).

I am very very liberal and like most people, recognize that ICE is overall not doing the right things by many immigrants who have done nothing but make the US a better place by their presence. That being said, I think if you are going to come here and you aren’t a good person and you chose to do illegal things like vandalize someone’s property (especially over nothing) then I don’t really care what happens to you.

I do my best to be a good and kind person and give people the benefit of the doubt even when they don’t deserve it. I am concerned for my family’s wellbeing that if I do name him in the police report, and his life starts falling apart, that he will retaliate against my family, myself, or our property. But I do think he needs to take responsibility. Maybe if he would have admitted to it directly, I could respect him taking accountability, but his demeanor was truly awful and he should be embarrassed (he was yelling, in a yoga studio…)

Because of his intersectional identity, I am hesitant. But I do recognize that being trans does not mean you shouldn’t face the consequences of your actions so if you get arrested or whatever it’s not on me.

If this happened to you, what would you do? How do I keep my (older) parents safe? How do I know he won’t show up with a weapon? Am I going to agitate him by reporting him and thus fuel the fire? Do I let it go?