Botox injection for Anal fissure hasn't helped. Although it's been 48 hrs now my pain has worsened

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Hello,

I would really appreciate if anyone can throw some light on this. I had a Botox injection for my anal fissure. It's been 48 hours now. The pain is worse than before. How long does it take to heal? I have also read that it doesn't work for everyone. How long do I wait before I conclude it's not worked for me? I read somewhere the wait time is 3 months. I don't think I can tolerate this pain for 3 more months. What would be he next best option if Botox injection hasn't worked? Is surgery the only option? I have been applying rectogesic but this isn't helping either now. Please help!!!!

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  • Posted

    Hi Hun..

    Where abouts is your fissure? Is it inside or can you actually see it?

    I had one round of Botox.. End of April... Literally only the past week have I been pain free. I actually went back to my consultant as an emergency appointment thinking it hadn't worked, he said to give it a few more weeks and he may need to do a second Botox.. All of a sudden like magic I became out of pain, still putting rectogesic on, and avoiding spicy foods, plus taking four movicol sachets on a night time. Mine was caused through child birth and I could see it with a mirror sad X

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    • Posted

      Thanks a lot Melissa, this gives me some hope. But I don't think I can't wait so long.... I have been signed off for 2 weeks, it's already been a week now and I want to get back to work asap but with such bad pain I don't see getting back even after another month. How did u manage with the pain for so long??? Just rectogesic , diet n laxatives?? I really don't know what to do if the recovery period is so long....

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    • Posted

      Yes, and I upped the laxatives massively. No spicy foods, soup etc.. Then he gave me a prescription for instilagel which really worked actually and took the edge off pain wise. I have a six month old baby and have had this pain since end of January- it's been a horrible nightmare- ruined my maternity leave. I didn't even know these things existed before I got mine I wouldn't wish it on anyone xxxx

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    • Posted

      Hi Melissa. Omg sounds like me. My baby is 5 months now. I had the Botox injected over a month ago. I still feel pain withBM but it doesn't last for hours like it used to.

      Amy: it took 4 weeks for me to start feeling better. I'm on a high fibre diet and hardly any meat. Stick to eating fish and veggies fruit etc. I've also been drinking a lot of water.

      Hang in there. It will hopefully get better in time

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    • Posted

      I can only imagine how hard it must have been for you with a baby Melissa, must have hardly got any rest. But glad that u r better now. I cannot see my fissure but if I touch my skin I can feel the pain. I was also given instilagel. Had 2 syringes. Both of which just flowed out when I tried to inject. The liquid never got in. Don't know if I did it the right way. Although I'm applying rectogesic 4 times a day sometimes I really get bad headache when I apply it. When I googled it did mention it's one of the side effects. It's 3 days now for me and still I don't feel any better although I know I have to wait longer but the pain is just unbearable. Im watching my diet and literally living in water, fruits n veggies along with laxatives.

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    • Posted

      Hey Dee, thanks. Yes I'm taking salt bath and literally living on water, fruits, veggies n laxatives. When you say hot packs are these the normal ones you get in store? How do you use these hot packs? Also for salt water bath I'm ending up sitting in my big tub which I feel is a waste as my whole body would be in water. Not very ideal in this hot weather. Are you aware of anything where I could just sit in a smaller tub or something just for my bum? Appreciate your response. Thanks

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    • Posted

      I usually put some salt and then won't fill the whole bath with water roughly around 10 -15 cm so just enough to cover that area. Also, with the hot packs I used the wheat ones that lasted longer than other that I've tried and I'd place on my lower back/bum area. I felt it relaxed me and therefore helped me with dealing with the pain. I hope u feel better soon !

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  • Posted

    Hi Hun, 

    i had Botox about 2.5 months ago.. for a good few weeks after I thought it was a massive mistake as I was in more pain even without going to the loo..😢 But after abit I felt a massive difference and for the first time in 18months I could go to the loo without wanting to kill myself lol 😩

    I used coconut oil and took laxatives which defo helped I would really recommend coconut oil if u haven't already tried it.. 

    The pain has come back slightly as I think I may have reopened the fissure when I went to the bathroom the other day so I started googling  for more miracle creams.... because I thought there is no way I am going back to hell as it literally took over my life... I found a cream called desitin... it might be coincidental but it's not hurt since (touch wood) 

    i also have two young children and this has literally took over my life but for the first time in ages I can see a light xxx 

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    • Posted

      Hey Hayley,

      Thanks. I haven't used coconut oil yet but would definitely use it. I'm open to anything that would help me at this time with this kind of pain!!!. Any specific brand coconut oil would you recommend to use? Also the cream that u mentioned desitin is it available over the counter or does it need any prescription? Please let me know xx

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    • Posted

      Hi, just normal cooking coconut oil u can get it in Aldi or holland and Barrett's (are u from the UK )

      the  cream I ordered on line

      i know it's easy said than done but try not to let it control you I know it's hard cause it's on your mind constantly... try and believe it will work get the coconut oil take the laxatives oohhh I also started using anusol again and although it didn't work prior to Botox it give some relief after.. xxx 

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    • Posted

      Hi, 

      just normal coconut oil the one u can cook with too, Aldi sell one that I use 

      the cream I bought on line ( I sent the link to u but I think the forum has black caked it for advertisement purposes) but get the max strength one.. 

      i know  it's hard but don't let it control you... I know it did with me and I felt so depressed but try and look for the slightest of improvements every day as this will make u feel better... I also used anusol again, it didn't work before the Botox but did help after xx 

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  • Posted

    Hi Amy, i only had my botox injections yesterday for my anal fissure. I know its early days but i feel terrible, bleeding and terrible pain/burning after going loo, my stomach is spasming awful and i dont even know if its meant to be.

    My colonrectal surgeon didnt prescribe me no pain relief just lactulose solution i have too take twice a day. I feel your pain, i hope things will improve for you. Some of these comments have helped me massively.

    Hope you feel better soon,

    Lynds x

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    • Posted

      Hi Lyndsey,

      Thanks a lot. The Botox dint help me at all. I underwent a surgery yesterday and for the first time after 3 months I had a pain free bowel movement. I was so scared to pass my stools today but was surprised it turned out to be pain free. I'm not sure if it's because the surgeon told me she's put a lot of anaesthesia the operated area or my healing process has started. She said I had a big nasty tear inside and therefore the terrible pain. It's all been stitched up now. I hope I don't experience any more pain from now on. But on the other hand I have developed 2 new skin tags which weren't there before. Should check in my follow up appointment if these are harmless. I hope the Botox treatment goes well for you. Good luck. Remember Botox doesn't work for everyone. The success rate is only 70%. So if u don't feel better soon I would suggest surgery is the best option. Take care xx

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