Anal vaginal fissures

A tear in the vagina as related to Chrohn's would be called a rectovaginal fistula. They would be healed in a similar way that other fistulas do. I think there are several threads on here about them. I just have a draining seton in mine and it works well.

Is the tear on the labia? Giving birth to a baby causes tears that are not at all fistulas (not that you have given birth, but if this is what they are comparing it to . . .). I suffered a 4th degree tear after giving birth. Basically I was just given pain meds and did sitz baths for a few weeks until it healed. Does it hurt to urinate? I also used a spray bottle while urinating to decreasing the stinging. I think a little petroleum jelly on the outside can be helpful and protective as well. The same treatments can be helpful for anal fissures. I highly recommend the spray bottle when pooping too!! Keep the area clean and with as little irritation as possible.

Also, an MRI can miss some things - so if you still have pain or fistula symptoms in a few weeks, I would check back in with your DR. I think CT scans are a little clearer - but require exposure to radiation, so should be used sparingly. Good luck!

Myrne, thank you very much. Yes, the pain is on the labia but it only hurts after I have a bm. Pain is excruciating when I'm constipated; d is a blessing for me. It does not hurt when I urinate. I'll ask my GI for a hydrocortisone cream as the typical GTN creams and compoundings do not help. Hope it heals and does not turn into a fistula.

I had to have cyst removed from my bikini line. Mine was caused by a disease that my doc thought I got b/c of my crohns. Apparently, women can have crohns issues on the female parts. Few doctors are up to speed on it. My doc is a vulva specialist and is a dermatologist and gynecologist. She also specializes in crohns issues. If you are too far away to be her patient, she may do a phone consult w/ you and your doctor. Look up Dr. Lynette Margesson.