Here's what managing fistula pain actually looks like. The research documented a brutal cycle: unrelenting pain leads to medication, medication brings crushing fatigue, fatigue makes pain worse, repeat forever. My version? Gabapentin at doses that would sedate most people. Barely touched the pain but left me dizzy, exhausted, uncoordinated. Not a great combo when you're trying to compete at a professional level in sport. The real kicker isn't the pain itself. It's that it never fully goes away.
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