Hi all,
I had my second round of botox twelve days ago. My fissure symptoms had been getting a *bit* better after the botox - the spasms were were much less intense- although there was still pain for 3-4 hours after a BM, and uncomfortable to sit down.
Today, my morning BM was not too painful but afterwards I had very strong burning pain, which has left me bed-ridden all day.
It is all so frustrating.
I drink loads of water (always have done).
I eat lots of fibre. My typical diet is - branflakes for breakfast, an apple/blueberries, beans on toast for lunch, vegetable soup with pitta bread for dinner.
No problem with constipation. I am regular and my stools are soft. I have half a sachet of Movicol and a tablespoon of olive oil just in case.
GTN cream. (I got contact dermatitis with Diltizaem).
Sitz baths at least twice a day.
I've had the fissure for 7 weeks now and have only been able to work about 50% of what I need to, which is not at all sustainable. I have a very stressful City career which involves a lot of sitting down and travel.
I am also expecting my first child in a few months - I cannot only be somewhat "normal" from 5pm.....
I've been suffering on and off from fissures/general discomfort when using the toilet for the past 2.5-3 years. Otherwise fit and health 35 yr old male.
The NHS has been good but quite slow. I have seen two private CRS surgeons - the first was very unsympathetic. He did the first botox injection and afterwards told me "I'm sorry you can't work, but what do you want me do about it?". He didn't appreciate the amount of pain I was in. The second thought I had a yeast infection as the skin was very sore down there (which proved to be wrong, due to the aforementioned dermatitis from the Diltizeam cream).
Should I go to a third surgeon and push for LIS?
Overall I am getting very depressed and frustrated about this.
Thanks