Botox - up and down - what was the outcome?

Posted , 5 users are following.

Hi everyone,

I had Botox 2 and a half weeks ago after having a fissure for 7 years.

First few days after the procedure, not much difference. A week in I noticed a big improvement and I had pretty much no pain with BMs for about a week. Then the last few days I've been a little bit more sore, not as bad as before the Botox but it's still a step in the wrong direction compared with last week. I've been super strict with my diet and haven't changed anything over the last few days so not sure what's happened there. I was feeling so hopeful it might actually work and now I'm not so sure??

Just wondered if anybody who had success with Botox had some bad days but still had a positive outcome in the end. I've heard so much conflicting info about when relief should be felt - 1 week in.. after 2 weeks there should be a difference... there won't be any relief until 3-4 weeks in...

Just want some reassurance all is not lost! 


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9 Replies

  • Posted

    Hello! I had the botox treatment about 3 weeks ago. I'm also a little sore. I'm not in the kind of pain I was in before the procedure but ya, still sore and some pain. I noticed that my soreness is near the skin tag. I can also feel swelling in that area and it feels very tender. I just sent a message to my doctor about it. Im waiting for a reply.

    Just like you I'm very strict with my diet and I'm also making sure things are nice and soft when I go. But I also have the same concerns.

    I've heard that this procedure is not as effective as the actual surgery. I'm also looking for success stories just to give me hope that this nightmare will end one day.

    I hope you feel better soon! Let your doctor know and maybe it's normal or a sign of healing. At least that's what I'm hoping I'll hear.

    Good luck!

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    • Posted

      I would definitely recommend the surgery. I myself had the surgery done about 4 years ago after being diagnosed with a chronic anal fissure and have not had any complications since. I have had bleeding a month ago from that area but without any of the pain and it healed itself up very quickly. I would definitely recommend the LIS surgery.
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    • Posted

      Thank you! That will for sure be my next move if this doesn't heal. Did you get a skin tag as well? I'm having some trouble with that. I was told that I had to continue sitz bath and keep it clean which I do but it's getting more painful and it's bleeding. I feel like this thing will never leave!

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    • Posted

      I did get a skin tag. If I stare at my butt all day I notice it smile, but I never feel it. I do slightly remember after the surgery feeling it more so, but I am about 3 years post surgery now and I don't notice it at all. If i aggravate my butt (heavy lifting, too constipated), it sometimes comes out. I would continue the sitz baths and everything else the doc said to do. 

      Here are some suggestions I have for you to help you through:

      1. Try somee zinc oxide in the form of calmoseptine which has menthol to soothe the area down there as well. Calmoseptine can be bought at almost any local drugstore and can be bought online too.

      2. Try squatting when going on the toilet instead of sitting. This is a much  helathier position and the poop sometimes will just slide out,  no pushing or straining involved.

      3. I would definately take a fiber supplement, specifically metamucil  is what I take evveryday,  in ordr to allow your stools to be soft and to allow them to pass thorugh easily. THis being said, with any fiber supplemetn, you must drink lots of water when using them, or they will not work veffectively. Also, do not take too much as too much fiber can irritate your bowels on the way  out and diarreah actually does worse down there.

      4. I would recommend getting a sphicteronomy surgery if htings dont get better. I waited it out, gave up, had the surgery, and was able to heal within about two weeks. I had a chronic fissure, so I knew where you are ocming from with v all the pain and discomfort.

      Try listening to music to distract your mind a bit, especially when going to the bathroom. If you are in writing pain, distract yourself with a movie or TV show right after. Also, to prevent myself from screaming and from putting more stress in the area down  there, i bit down on a washcloth in order to make the tensions with my teeth instead of my sphicter muscle.

      Hope this helps!!!




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    • Posted

      Thank you so much for the tips. I'll keep them in mind. I'm glad you're doing well. And yes, if things don't work out I'm for sure getting the surgery. I'm actually seeing the surgeon tomorrow because of this skin tag thing. It's bleeding and swollen and very painful around that area and I'm worried it's getting infected! I really hope not! Or maybe it will be a simple fix, hopefully...

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    • Posted


      I got Botox treatment 5 weeks ago. With me the spasmming stopped for good but I am extremely sore for about 4 to 5 hrs after a bowel movement. I just saw my specialist and he had scheduled me for LIS surgery. Very nervous about it. Hope you feel better soon

      Take care

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    • Posted

      Hi! I hope all is well. If you didn't have surgery yet, don't be nervous. Recovery is not that bad. If you can get on a liquid diet 2 days prior and 2 days after, do it. It makes all the difference in the world. For me, I had to be very careful with what I ate. I ate nothing that can constipate me. And I also took my stool softeners and laxatives. If you already had surgery I hope all went well! Keep up with your stool softeners and laxatives and avoid foods that constipate. For me it was any diary, white flour, bananas, too much spinach, red meats, and not enough water. Drink lots of water and be careful with the fibers. Too much can also harden stools. I hope you're doing ok. I know it's scary but I promise it will be ok, and you'll feel better. Also, it's not as bad as you're probably thinking. Oh, and one more thing, use baby wipes to clean yourself. Last thing you need is to irritate your skin down there. I also started applying antibiotic ointment, lidocaine cream and calmoseptine on the area. That seemed to help. And I'm sure the doc told you or will tell you to do sitz baths. Keeping the area clean and medicated and keeping stools soft is key to a faster recovery. I'm about 10 weeks in. I've had no significant pain..however I do get a sharp pinch here and there. But, I had a hemerrhoid removed also and today I noticed that I was bleeding a little and I have some pain. I've been introducing different foods into my diet and I got constipated so I'm taking it back to basics with my diet again. Still, I'm alot better than before. Good luck and I hope this info helps. smile

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  • Posted

    I feel that in reality, it would take more than a few weeks to heal. You know that the treatment is basically injecting botox to your bottom, one of the most sensitive skin area, right? The piercing itself may take a few weeks to heal, before you can feel the effect of the treatment.

    ​Mind sharing what kind of diet your are having throughout the period?

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