Its 1.30 in the morning, day 6 post op and i need someone to talk to. i had a fissurectomy, botox and hemoriodectomy and am in soo much pain. Is this normal???? I had a bm bout 3 hours ago (this was my fourth since the op) I am taking stool softeners and drinking plenty of water, going isnt so much the problem as they just slide out but the pain after is bad. ive taken my full quota of pain killers and nothing has touched it, im crying like a little baby but it really hurts. I knew it wasnt going to be a walk in the park but its nearly a week and i thought the pain would have started to lessen by now, my bum is spasming bad - i thought that it was instant relieve after the fissurectomy - and i feel the need to pee all the time. There is a lot of pressure in the area and i feel as if something is protruding from the anus, i asssumed it is swelling but not sure. I really feel that maybe this wasnt the best thing for me and need some reassurance. Please reply. debs

Dear Debs,
So sorry to hear that you are in so much pain. Hemorrhoid ops are one of the most painful that you can have, and plus Botox and a Fissurectomy I am not surprised that the pain seems pretty much unbearable. I hope by the time you read this you will have been in touch with your surgeon to get something that will help a bit more with the pain and to make sure that everything after the surgery is ok. I do remember with one of my hemmy ops I took myself down to the doctor, but it was just the swelling that was the problem.
It's not uncommon to want to pee with so much inflammation going on down there, but you should also get that checked just in case there is an infection.
I have always used ice packs wrapped in a towel to bring down the swelling with hemorrhoids, but not sure if you can do this with what you have had. Really, the very best is to see your doctor, and if you feel it's just too awful, and the pain too intense, don't hesitate to go to the ER. You should not have to suffer.
Thinking of you.

This is information posted on the forum by Jessjess, who also recently had surgery. They gave this to her as information after surgery:
My POST OP INSTRUCTIONS
Hello all, I had a fissurectomy and LIS a week ago and I received instructions for aftercare. I noticed that some people get this surgery and are not given any written instructions so i hope this helps. The first part for medications is what I take and it will vary slightly from person to person.
Instructions:
1. Medications- painkillers and fiber products
My meds (this will differ per person)
Oxycodone-Acetominophen 5-325 (generic for Percoset)- Take as soon as ANY discomfort or returning sensation is felt. Take 1 or 2 as needed every 4 hours.
Continue with stool softeners (100 mg 3x/day)
Miralax- 1 dose/day
Continue with Aleve/Motrin (same as 800 mg ibuprofen) (these meds can be taken with the painkiller). No acetominophen or Tylenol as this is already in the painkiller.
2. Use an ice pack for the first night after surgery. A hot tub bath may still be taken the night of surgery and may be taken 4-6 times a day beginning the day after surgery as needed for comfort. These baths will help especially after a bowel movement. Baths should last about 20 minutes. Epsom salts or other additives are not necessary. Remove your surgical dressing during your first bath if any dressing is present.
3. If difficulty emptying your bladder occurs, sit in a hot tub of water for 5-10 minutes, then empty your bladder in the tub. After surgery, minimize liquids until you urinate for the first time.
4. Drainage of pus-like material and blood will occur after surgery and is normal. Use cotton or gauze at your anal opening to protect your skin and clothes. If prolonged or profuse bleeding occurs, call the office at once.
5. Discomfort with bowel movements following rectal surgery is common. A bowel movement at least every other day will hasten your recovery. If you have had no BM by 2 days after surgery, take 2 tablespoons of Milk of Magnesia. If no BM occurs within 12 hours, take 1 bottle of Citrate of Magnesia.
6. Use moist toilet paper or Tucks pads to clean after a BM and take a tub bath or shower if possible.
7. Eat a regular diet with plenty of fruits and vegetables. DO NOT eat only soups or liquids. Drink 6-8 glasses of water a day.
8. After rectal surgery, avoid strenuous exercise or heavy activity for at least 1 week. Other activities such as driving, climbing stairs, and walking may be done in moderation. Use common sense and listen to what your body tells you. Do not use "doughnut" rings to sit on.
9. Call the office if fever of more than 101F, worsening pain, or if you have questions about your progress.
10. Avoid aspirin or products which contain aspirin to reduce the risk of bleeding.
Hope this helps!

Thank you for your comments, i have made a gp appointment for this afternoon - and managed a few hours kip- . I was also discharged with no leaflets or information, i still dont really know what i have had done which i think is the main problem if you are told what to expect you wont worry so much.will post what my gp had to say later, thanks again.xx

Debs, I have read that the Botox takes a week or so to start to kick in.
Good luck with your appt today, and I hope at the least they tell you what procedures you have had done!
OMB x

debs, the botox takes at least a week to kick in. Are you feeling any better?