I had my follow-up with my CRS and my af is finally healed. I was so happy to finally go to the CRS and come out with good news!! To recap my situation, I got an anal fissure 15 months ago. I tried all kinds of creams and did sitz baths along with psyllium fiber, Miralax and stool softeners everyday. I started to heal to a point I was not in very much pain anymore, but it was still there. After going back to the CRS I learned I had developed a fistula from the fissure. I finally had surgery on the fistula along with a skin tag removed and Botox all at the same time. Four weeks later and my af is almost completely healed I have another follow-up appointment in two months. The CRS told me to keep doing the fiber supplement, Miralax and stool softeners until my next appt. He says he wants to see the skin toughen up before I change anything. Believe me, I am in no hurry to change anything at this point!
For those of you on the fence about Botox, it has really worked for me. Now my concern is just not re-tearing the fissure when the Botox wears off. I am so tired of being concerned about my a**, maybe someday I won't have to be as obsessed. After 15 long months of dealing with this af, I am so happy to be close to normal again. I will probably always have a fear of tearing it again. It has definitely impacted my life in so many ways. During the worst part I felt like the pain was going to kill me and I thought I would never heal and be okay again. It put me into a depression. Now, I feel like I can finally have my life back again.
For everyone out there dealing with the excruciating pain, just know it will get better eventually.