Hi all,

Just wanted to get some advice regarding the Botox injection. I have had an anal fissure for 3 months and tried all of the conservative measures to allow it to heal. The first 2 months the pain was debilitating and I went to see a specialist who prescribed creams etc. Long story short, the last month has been almost pain free with occasional set backs of I pass a hard stool. Went back to the specialist yesterday and because it is still there, I am now I'm booked in for a Botox injection. Of course now I am fully read up on all the horror stories and have started having doubts. My question is, should I go for the Botox to try and allow the fissure to heal fully? Or am I taking an unnecessary risk when it has been behaving itself recently? It's difficult because I am afraid if I don't get the Botox, all I need is a hard stool to set it off, but if I go for the Botox then I am worried I will have the set back anyway and at the moment it isn't causing me problems. Any help to make this decision would be great!

Hi!

I was tossing with the idea to get Botox for a while, at one point I was healed for about 3 weeks then the next day I was back to square one for another month, this was on repeat for months. So I decided to receive Botox about 2.5 months ago and I have had no problems at all and I am completely healed!

I feel like Botox is such a great way to help heal with very minimal risks especially since you have only had the fissure for 3 months. I am so glad I did it!!!

Hope that helps!

Hi :)

Welcome to the Forum! I recieved botox a few years ago and it helped me for a few months but sadly the pain came back. it's all about management post botox I feel, so really focus on your dietary intake and fluid intake. Botox just paralyses the muscle and stops the spasm. A large part of the healing has to be done by us!

It's the lease invasive procedure apart from GTN so it can't hurt - of course there are risks and potential side effects but it helps a lot of patients. You just need to find the route cause of what caused the fissure origionally and stop that otherwise it can come back!

I got completely healed from Botox. Two years pain free. Used miralax for 8 months after the intervention.

I also had Botox and would recommend trying it prior to more invasive measures.

Hi I am questioning the same thing. Booked in for Botox in 2 weeks. Have had the fissure for 7 weeks, finally not in much pain passing a bm, I had a set back a week ago with a large stool but now back to feeling on the road to recovery too. Since changing my diet to high fibre and cutting out meat I am having 3-4 bm's a day which I thing has slowed down the healing process. I don't know whether to get the Botox as I am scared of the recovery period as I have a 5 month old. If I feel healed before the Botox should I bother with it? I am using rectogesic ointment and a stool softener.

What did you guys do??

Jasmine123 wrote:Hi I am questioning the same thing. Booked in for Botox in 2 weeks. Have had the fissure for 7 weeks, finally not in much pain passing a bm, I had a set back a week ago with a large stool but now back to feeling on the road to recovery too. Since changing my diet to high fibre and cutting out meat I am having 3-4 bm's a day which I thing has slowed down the healing process. I don't know whether to get the Botox as I am scared of the recovery period as I have a 5 month old. If I feel healed before the Botox should I bother with it? I am using rectogesic ointment and a stool softener.

I also have a young baby she’ll be 6 months at the end of the month.

I had it twice over the past 12 months and although it wasn't successfull it did ease my symptoms. I did have some side effects from a continence point of view but the majority of the time I was fine and I did get used to it.

All in all I'm glad I gave it a try before having LIS.

Hi Reliefatlast, did you find that after Botox your sphincter muscles were no longer tight even though you had fissure pain? I had Botox last year and supposedly healed but still have all the symptoms of fissure except for a rock hard sphincter.