hi i really need some help and advice, has anyone got any tips on going to the toilet for a BM after botox fissurectomy as i am in so much agony and discomfort now after my second bm since the procedure than i was after my first one. its making me feel so sick and i feel like i cant stand/walk after? ive been taking softeners and also some laxative but it doesnt even feel like its doing anything for me?
its only been 1.5 days since i had the procedure done but im really struggling already 
Thanks
The first few days are the worst and pain peaks on the third day. After a week pain should calm down. The pain is because all the scar tissue has been scraped off. Keep stools soft and try to be patient. Usually pain calms down after a week.
thanks so much for your reply, i was really worried as the pain is the type that makes me feel sick and shakey and i thought maybe i had reversed what they did in my procedure or that the tear hadnt had enough time to heal etc.!
im eating lots of fibre and taking stool softener as well as magnesium i bought from Boots! so fingers crossed lol
Thanks again:)
Relax you are too early to expect anything. I am 2 weeks now and still in pain . Its really rough but day by day it will get better ,keep a healthy diet
thanks for replying! still in pain after 2 weeks oh gosh im dreading going to the toilet or doing anything atm lol! im trying not to eat too much in general as well to keep stools smaller as well as soft! Have u found any pain remedies at all? besides paracetamol lol
i’m also worried about returning to work as the pain is so great, are you working also?
Cheers!
It is the same for me , the first week is so damn painful like i am biting my hand just to not feel the pain down there , pain reliever doesn’t seem to work with me . I am from Philippines and here i have celecoxib 200mg pain reliever + antibiotics for 7days that’s all i am taking. Yes i have a work but i have a company leave for 30days 1month to see the best result of surgery, because stress can affect the healing of your anal. Anyway you will be normal at two weeks and can go back to your work but it will take 6-8 weeks to completely heal.
Now i can say the pain subsided i can rate it as 3/10 now but 10/10 for the discomfort like itching and little bit burning sensation . I used to have 3-5 times sitz bath a day. Let us just watch our diet. Eat vege and fruits that can soften the stool and a lot of water plus i am taking virgin coconut oil so that my poop can pass easily. I will give an update for my 30th day post OP.
Oh wow okay, i havent been prescribed anything else after my surgery they just gave me paracetamol and laxative sachets! no one said anything to me about a sitz bath, maybe i will invest in one?
Thanks for your advice i do appreciate it!
Do you take the coconut oil in pill form? ive not heard of this
Okay brill, take care
Sitz bath is important it cleans the area and help relax the muscle so more blood flow which helps the process of healing. Anyway how old is your fissure before you get the surgery?
i will definitely look into it, or maybe i’ll try sitting in a regular bath?
I have this fissure around 2 years now in august and tried all the creams before being told botox was the next step. i also had 2 apparently and my sphincter muscle was contracting etc! what about you?
i’m really hoping pain improves soon as im in agony again after bm 
its worse than before the botox for me ?
The muscle contraction is gone now but the first week i feel really tight down there so painful during and after BM., Don’t lose hope , try to be positive always. Im 16 days post OP now and still in PAIN!. Like you i am paranoid but i am trying to be more positive that after 1-3 months ill be back to normal like what Betty said.
thank you, i am trying to be positive yes its hard but i’m hoping this is the worst before it gets better !
Yes hoping my pain calms down after a week or so like betty said too!
Good luck
Good Luck to us Let us see how it goes after a month. I will update you hope that you are still here after a week or months.
yes indeed
yeah please let me know!
Of course i will still regularly check this site/forum for a long time i think !
So i wake up and have BM and today is so damn painful because i had no medication :‘( It sucks to have fissure. I dont know where the pain came from. I think the surgery site and not the fissure site but it is so slow process :’( i am in tears now
Oh no, so sorry to hear that Do you think maybe you should call your colorectal doctor ? i’m thinking of doing the same thing if i still have this awful pain after bm when i reach 16 or so days post-op too. 
Would taking OTC painkillers/ibuprofen be of any help to you?
i hope it improves for you soon !
No pain killers . It was only for 14 days. Now i contact the doctor and said need to add 1 week pain reliever. Maybe i need 2 more weeks of pain reliever. The pain came from the side of surgery not the fissure. If the fissure heals i have to deal now with the surgical site . It sucks painful
hi all ive had a fissure for a few months initialy i had some pain and a little blood but now i have a constant discharge of a clear smelly liqud is this normal with a fissure
i understand, anal pain is the worst especially the intense pain down there after a surgical procedure i think its the nature of the small area maybe ibuprofen will help you as it also is meant to have natural anti-inflammatory which may help? you had LIS and pile removal right? my bad if not haha
i wish u all the best, hopefully we can be pain free one day soon!
i have read that this can happen sometimes in terms of discharge and leakage etc. However i’m not sure as i didnt read anywhere about odour. Perhaps call your colorectal doctor(s) to make sure this is normal and nothing to worry about - but i havent yet had this unfortunately, sorry!
Take care
Yes LIS with papilla removal on day 14th 15th i had no pain and now coming back that’s why I’m mentally breaking down lol. Thanks for cheering me up , I hope we both HEAL after a month. Do you have viber or anything we can use to communicate easily?