Coming up on my third month of the fissure. Happened after a colonoscopy, was misdiagnosed for the first 2-3 weeks. Tried nitro cream and then nifedipine with no success. Had Botox injection 5 days ago, three shots in all 30 units on each side and 16 units directly in fissure. My pain level has changed. 95 percent of the time I have all my BM in the morning. Before Botox the pain of the BM was moderate then 20 minutes later I was incapacitated for up to 8 hours. The burning painfully spasm from tailbone to testicle. After Botox the BM is very painful and burns immediately after but after a bath the pain subsides. I have an external hemmy that is irritating the process.
My problem is that in the morning the last few days is that I'm having 3 BM within a three hour time frame. The BM ARE SOFT but I don't feel like I'm emptying out and feel a constant pressure. In the afternoons I'm much better and can have a normal life.
My diet is as follows
Whole wheat toast and avacado with water breakfast
Melon, cereal lunch
Rice and beans, asparagus, kale with fruit smoothly with Metamucil dinner
Drinking plenty of water, and more melon.
Pretty much my standards
I did start taking senekot at night and magnesium
Should I continue the senekot, which is a laxative or take a stool softener?
Also, is benefiber better the Metamucil?
Before Botox I was having fuller less often BM. I was taking Metamucil at the time but not senekot. I'm a little afraid to stop senekot, lord knows I don't want a bulky stool that doesn't want to come out.
I'm i having too much fiber?
Any thoughts would be appreciated and questions that I might be able to help with.