Hi guys. My brief story.
Growing up every few years i would have a small swelling around my bum for a few weeks. Never painful always went away.
Fast forward to about 30 years old. Had some sort of swelling that became infected. Eventually told was personal haematoma that had become infected. Cured with antibiotics. Happened every few years. Each time anti biotics and then burst and pain went. In the midst of this I had one fissure (felt like passing glass). And went on lactulose and then fybogel for years.
Surgeon assumed abscess/infected haematoma was coming from a fistula but could never find one (albeit never has operation to check) and hasn’t come back for over 4 years.
Nope I seem to randomly get fissures 1/2 times per year. Horrendous burning and spasm. Valium helps. Very little else seems to. GTN gives me bad headaches. Have asked for diltiazem.
Doctor suggested topical lidocaine for the burning. What do people think?
What else can I do to get the spasms down?
I eat pretty healthy and do exercise. Sometimes fissure comes from diarrhoea sometimes from harder stool. Really can’t predict it. Any thoughts?
Really annoying thing is that I get quite anxious and get urgency and think I need the loo a lot which makes work hard. Very rarely do I actually need to go.
Should I bite the bullet and have Botox?
Thanks so much.