Botox for anal fissure

Just had a botox injection for my chronic anal fissure. I have had this reoccurring fissure for 10+ years. It was always manageable until recently and so I finally did something about it.

Firstly I would like to say that the Botox itself does NOT hurt. It's the pain from the fissure that hurts, because the botox doesn't heal it straight away, it's still there after the injection as it was before and probably more aggravated from the surgeon prodding around down there. I did not get a fissurectomy or any skin tags removed, as that would have caused additional issues. I just had the injection under general anaesthetic.

I was a bit worried the next day for my first BM because I had gone most of the day before not eating or drinking anything due to the restrictions before surgery, and also because I did get super nauseous after I woke up which led to me not wanting to eat anything. So my first BM was hard and I had to strain to get it out. I didnt want it sitting there getting impacted, so I pushed. Probably a mistake, but I'm human. This hurt a lot, but not anything unlike I had previously experienced. The big difference was already noticeable, that even though it did hurt a lot, there were no spasms afterwards. You know that intense throbbing pain that lasts for hours afterwards. There was stinging from the cut, but no throbbing pain. I guess this means the botox was doing its job. I can only hope that it gets better from now on. I was really worried that I had done something wrong and set myself back, but I have to remind myself that it is not an instant cure. The botox will stop the spasms, allowing it to heal better in time.

Also, to ease your minds, I haven't had any incontinence at all with gas or leakage. If anything, I have to push my farts out too.

And my final tip is to use a hot sitz bath after BM. It really does feel good. It has to be as hot as you can stand without burning you. Despite what they say about only using warm water. My surgeon also told me to do it hot and lots of them. He's the boss.

I will keep you all updated as I go. This is only day 1. Any questions, I'm an open book.

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