My AF was only a source of blood when it was at its worst and felt like I was delivering a baby with each bm. Now, post-Botox, I have blood every other say with Bms in the 4-6 range and little pain. The pain that is there is dull and achy for about five minutes. No muscle spasms anymore either. I am very nervous about my five week check up, as I am scared the bleeding means the Botox didn't do anything. However, the muscle spasms being gone is huge to me. I really don't want to have LIS done... I am really hoping it's from the tag removal or an internal hemorrhoid... The blood prior to Botox usually only lasted for a day or two. Post-Botox it has been about a week and a half now.