Hi All,
I was wondering if the folks who have had botox might answer a few general questions for me?

1) Did botox stop your spasms/make you pain free?
2) If so, how long did it take to kick in?
3) Were you sore after the injections?
4) If so, for how long and how painful was it?

Hi JB,
I had Botox last April. I think it depends on how far gone a Fissure is, as to how effective it is.
It took 3 weeks for me to feel any difference. I also had hems banded and I had 3 Fissures, so my case was chronic, as I was 7 months in since first being diagnosed.I was pain free for a short period, but not long as it didn't work for me. It was sore afterwards, but nothing worse than the fissure pain. Mine were too far gone, and I may be having surgery soon....

JHH healed on Botox, he has a diary on here which you can take a look at. Also Sugar spice has too, I think she is on her second round of Botox and doing well.

I think it depends on the surgeon too, as some use Botox, some don't.... My new CRS said it wouldn't be an option now for me. Good luck, and I think if you are not to far gone with your Fissure, get the Botox done, it may well heal you.

Hi Jbl,

I had botox the end of February 2014 and my anal fissure did heal afterwards. I wrote a short botox diary that you can read if you want. I was awake for the procedure and didn't use any sedatives.

When I had the botox I was mostly pain free but not entirely. I would have a flare up right before my period and the spasms would come back. Then I would recover after some time and feel better. But I still had the fissure! I had the botox and felt good, no spasm for two weeks. Then the spasms came back two weeks after botox. Eventually the spasms went away again. It was really around week six that I started to feel like I might not have a fissure anymore, I felt more normal. At week seven I had a follow up and was pronounced healed. Through the entire time I still used nifedipine.

The botox definitely kicked in over the first 24 hours to first week. I could feel a difference putting in the medication. I also had extremely mild gas incontinence.

After the botox injection I had some sharp stabbing pains for a couple of hours. I had maybe three or four an hour so it was mild. I was a bit sore for a day. I used ibuprofen during that time. I was surprised that I wasn't more sore than I was.

Botox worked well for me, I would do it again without hesitation if I had another fissure.

This is a GREAT idea for a poll. Particularly because I think the Botox helped a lot with pain, but yet did not fully heal the fissure, so I'm interested in if anyone else had benefits, but wasn't necessarily healed.
(1) Lessened spasms a lot
(2) It's hard to say when it really kicked in. I usually noticed the best improvements in week three.
(3) First one, yes, as I had a tag removal (worse than LIS in terms of pain!) and second one, no, other than the gauze they shoved right up alongside the fissure...
(4) A week for the one with LIS; 10 hours/when I removed the gauze

Basically, the second round was much more successful, and I attribute it to the fact that I didn't have a tag removal done, too. However, after four weeks, I retore again. However, the full pain spasms were never as bad since having it done.

Thank you so much everyone for this info! So helpful. I go in for botox in 2 weeks, unless my surgeon decides I need LIS after seeing things up and close... scary. We'll see what happens. It is so nice to read your accounts.

1-yes Botox stop my spasm. Pain free maybe, just a little discomfort
2-started to kick in 5-7 days. Been getting better every week. Currently at day 25
3-sore after anesthesia wore off
4-sore for 24 hours, about same as fissure spasm. Days 2-6ish still had spasm

Maybe Botox should be added as a main thread. It might make it easier to find information. Just a thought.