My fissure journey started in December when I was having severe pain (6-7) and had no idea how to actually handle fissures.
Since then I've taken lots of advice from this forum, such as Miralax daily, along with fiber (psyllium) and magnesium supplement. I was also on Diltiazem for about two months. I've seen a CRS twice now, and they have concluded that my fissure is healed.
But one big problem remains -- I am having muscle spasm pain through out the day, every day. It's not as bad as fissure pain, maybe 3-4, but enough to be very uncomfortable. It's worst when sitting. It also gets bad when I need to have a BM -- something about the extra "pressure" seems to set it off. Has anyone here had this problem?
My CRS said this can happen after a fissure, and should try to relax when going. Also, she's referred me to another doctor that does Botox injection, but said that she doesn't do them herself because of the low success rate. The referral says "botox injection for levator spasm". Anyone here have good luck with Botox following spasms around the sphincter?