I have had an anal fissure since last March. My symptoms have improved to the point that I have spasms about one day a week, if that. Most days, I do no have pain. I am very grateful for that but my fissure has not healed! I credit the symptom reduction to nifedipine or nitro ointment, changes in diet, use of squatty potty, and use of miralax, etc.
Two days ago, I had the botox injections. I was awake and my doctor does not use any anesthetic. The procedure was very quick. I kneeled and leaned forward over the special table. They lifted my butt into the air. The doctor prepped the anal area with something cool. Then he gave me warning and inserted the needle. The pain was intense but very bearable. It only lasted three second and then felt uncomfortable for a few more seconds. Then it was over. Then he injected the other side of the sphincter. He put some gauze on the outside of the area and it was all over.
I felt a little shaky so I sat down for a few minutes. Then my husband drive me home. I was walking a bit slowly because I would have on occasional sharp pain. I went home and laid down on the couch. I only had a few sharp pains in the morning and some achiness in the afternoon. I did take some ibuprofen every five hours after the procedure.
The doctor said I could return to work the same day but I took the day off. I recommend taking the day off to rest. I applied nifedipine in the evening and that was fine, a little tender but not much tenderness.
Day 2: I had an easy bowel movement, no pain, no blood. I love miralax! I applied nifedipine in the morning and evening. The sphincter felt nice and loose in the evening but tighter in the morning after the bowel movement. The botox is working but I am not sure how much it is working, I have no incontinence issues.
Day 3: Another good bowel movement. I applied nifedipine in the morning and the sphincter was tighter than last night. Not very tight at all but I guess I expect it to be very loose. I hope the fissure will finally heal up! My next doctor appointment is in 7 weeks.