Newmommy28 and Jbl22424 - thanks for the information that it is ok to have botox during breastfeeding. It's good to know. I'm considering botox if diltiazem (or maybe later GTN) doesn't work.
Newmommy28, I think many who have suffered from fissures are hyper-aware of their butt. Maybe it will be easier when time passes by and botox starts to work better. I hope the spasms go away so you could feel better and heal!