I've just been diagnosed (although have had severe pain for 18 months). Consultant says she wants to do examination under anaesthetic. She says if she could, she would do botox at the same time, but my health authority won't pay for it so it would be just the EUA. I have two questions which I didn't think of until after I got home:

1. If my AF is healing (I'm using rectogesic) is there a chance that poking my bum around during the examination will make it open up again?

2. Is it really necessary? She says she's 99% sure it's AF, so I wonder what the point is, but maybe there are other things she might find which would be useful?

I'm not keen on having an EUA (never had an anaesthetic in my life, a bit scared of it) but will do it if there is a good reason and it won't exacerbate my condition. Anyone got any thoughts on this? Thanks!

If the person performing the exam is a crs I wouldn't worry about the exam. Rectal exams are an everyday part of their job. I've had multiple exams by CRS with no tears.

Unfortunately botox didn't work for me but it might help you. It's typically the last step before surgery.

My 2% - I went in for a second appointment after 6 weeks of topical nifedipine and some real good progress. For whatever reason, the CRS forced a scope in and reopened the fissure, it's now 6 weeks after that appointment and I'm back to where I was about 8 weeks ago. Maybe wait a little longer and see if you continue to heal?