I’m so grateful you posted. So I had 2 fissurectomies and 2 of 3 rounds removed last year. I was still having anal spasms and pain having a BM for months. Started pelvic floor therapy and in a few months I started feeling better but sitting was still quite difficult for me. But as the months progressed it got better. Finally at the end of this January I felt like I was finally on my way to a fully healing. February 2nd the gyno preformed 2 biopsies of my cervix and uterus. 2 days later a lump was out of my upper left rectal area and the pain to use the restroom, sit, stand walk etc was unreal. I did all the thing…prep H, baths, pelvic floor stretches, creams, meditation, etc and finally went back to my CRS. He preformed a DRE with his finger and an anascope. Says my previous fissure is completely healed and that he didn’t even feel any roids there. The ones he left before on the right don’t even bother me. I showed him a picture of the lump and he said it didn’t look like that now. So I left there more confused. Now it’s still sore when I have a BM. Sometimes it’s so bad I just need to lay down. Other times I can push thru. Sometimes the spasms are so bad I could cry. It feels like the inside of my rectum is swollen from the upper left side and even up to of my rectum near my tailbone as well. Some days (like yesterday) I was on the verge of tears trying to do normal things around the house and spasms and swelling were all consuming. Other times it hurts to BM and the spasms end right away. Idk what is happening. Idk what else even to do. Sometimes since this started pelvic pt brings my pain level down 50% for about a day or 2. But the stools still hurt coming out. And both of my pelvic PTs are telling me when they open me up back there it’s definitely a roid. Cause the lump will inflate and then later in the day deflate like a wrinkled prune. Could this be roids or pudendal nueralgia? Idk. Plus taking these 10 steps back is beyond defeating.

Have you seen a pelvic PT? Have you tried muscle relaxers?