by GilmoreGirl » 19 Feb 2017, 17:07
Hi, so sorry you're in pain, I know how you feel and it is just unfair.
I have not had Botox, but I have throbbing burning pain for hours after every bm, especially when I'm doing anything but lying on my side - but my fissures are all healed up.
My sphincter is noticeably tight, and my surgeon and physiotherapist believe that the LIS surgery is the best way to alleviate the pain. They believe the situation is the same as when the fissure was open - the nerves in the area are sensitive and there is still an injury even if it is "healed over" on the surface. So the same pain cycle is in motion - pain with bm causes spasm, which causes more pain (throbbing, burning) and more spasm, etc.
Maybe that is also what's going on with you. I have ibs so I understand how hard it is to deal with these fissures when bowel movements are difficult to get ideal. Have you tried amitryptiline? That was my gastro's first recommendation for my diarrhea, it also helps with sleep and can help manage gut pain (and maybe even fissure pain at some doses).
Hoping that this helps you a little - sorry you have to go through this.
Believe me, I do understand - it's been 6 months bedridden for me