Hello,
I've been helped by reading other's stories for a little while, but I would really like the members insights.
Had an anterior fissure 6 years ago. Didn't know what it was and developed chronic tightness. Fissure healed and tightness about 80-90% better, but then I got a posterior fissure 2 years ago. Up and down since. Got really bad in Feb 2020. Finally found a local CRS who did botox. Seemed like he got everywhere (external and internal sphincter) except for the tip of the internal...You know...right where it was needed! So, that area was in great spasm for 3 months. Is that even possible?
I was in soooo much more pain. It took me to a low point I had never been in my life. CRS said never heard of worse with botox before. Made me think something more was going on (e.g., abscess, cancer). Recently, had an MRI and the colonoscopy, both clear for anything more insidious. Plus, a few days ago started bleeding again. it was a downer, but also a good sign...Just a fissure.
Next step is exploratory under anesthetic with possible fissurectomy to remove scar tissue to aid healing. However, it will be 1-3 months (ala covid). So, I would really appreciate any comment on whether botox can miss one portion of the Int sphincter and, if so, make things worse. If true, then I would consider botox again (with a stern look at the CRS to aim more carefully).
Thanks!