OK, so i had my follow up last night after my Botox on the 20th June 2011, the consultant said i still have a small tear and has given me 2% Diltiazem Hydrochloride Cream to apply twice a day.
Had blood after a BM today, but i think this was due to the hospital appointment yesterday, well i am hoping it is!!
What do you all think about the cream, will applying this twice a day heal the remaining tear or will i still need further surgery?
I will have another follow up in 4 weeks to see how it is going
I also feel the botox is now wearing off as the pain is slowly returning, its getting worse as each day goes on!!
Andy

Hey Andy - I have heard of some folks using creams after botox or LIS to get them over that final hump. It may very well work, so it's worth a shot. I'm really sorry the pain is returning. :( Did your doc say that an LIS could be the next step if you aren't better by your 4 week follow-up?

Sorry the botox hasn't worked Andy, though not really surprised.
Hopefully the cream will help, as Hope says, it's certainly worth trying.
LIS or a second round of botox will probably be their next move?
Hope you feel better soon.

Thanks for the replies guy's
It was not explained what would happen next if the cream doesn't work, I expect they would want to try the Botox again if the fissure has part healed??
I will let you know how it's goes, but thinking another round of surgery will be needed
Andy

Ok, so have been using the 2% Diltiazem Hydrochloride Cream for the past 48hrs, today where I have been putting the cream (on the outside, not inside) is feeling raw and really sore, it hurts just to walk fells like I have been on a long bike ride!!
We stop using the cream and will make a call to the consultants secretary tomorrow to see what I can replace it with and the next steps, there is no way I am continuing with the cream, anyone else had this type of reaction with thus cream or it a case of perseverance??
Andy

Diltiazem gave me the itch from hell! So you could be sensitive to it. Have you tried Rectogesic (nitro)?

I have used diltiazem for 4 months and found it was working in the beginning and now I have the itches! I personally couldn't use nitro as I couldn't stand the headaches that came with it! I must say though, I did get more tender down there in the first few days and then relief really.

The cream can irritate you, well I am speaking for myself! I am now having problems with rectogesic after 3 months, but am persevering as it appears to be starting to work, and I have weeks with no irritation and then oen week with. I have been advised botox is the next step though, so am at a different stage to you! You are ahead of me. I would ask to change the cream :)

Thanks for the info everyone, looks like i am going to be put on Nitro (Just hope i don't angel gas and blow myself up!!) would i expect to get any side effects from this cream?
Will let you know how i get on with it, have another follow up on the 07th October 2011, can't come soon enough!!!
Andy

Take a painkiller before you try that stuff - it can give an ALMIGHTY headache, which can be quite scary if you're not expecting it!