BOTOX INJECTION IN MUSCLE FOR ANAL FISSURE OUTCOME

Digestive health
1

Hi one and all just to let you all knowy Botox injection outcome.

I had this injection on the 6th December 2007, I was only in for the day, I feel so much better, no more having a bath at 2 and 3 in the morning.

The muscle spasms have gone, if anyone of you have read about me on this forum I was in a bad way, in pain every day, not good for anyone.

I feel so much better, I get a small abount of pain sometimes after going to the toilet, but all in all my bottom feels much better, I may have to go in for a second injection, I see my Surgon in FEB. I will keep you all informed, if you have any questions send me an e-mail, or post your questions on this forum.

Happy bottom pain free new year.

MOONFAIRY

2

Hi Moonfairy ... im glad to hear that things are working out well after your botox injection .. can i ask you how long you suffered with the fissure for ?? was it located high up ?? did you try rectogesic cream and with what success?? ...... im going back to my colo rectal specialist Monday Jan 14 and im feeling totally miserable .... i was put on movicol sachets and rectogesic cream .... the cream i feel hasnt helped me at all really as the problem seems higher up than it medicates to.

Any information you can share would be really usefull to me as no-one identifies with what im going through, and sometimes i feel i may have something more sinister going on.

regards

:lol:

3

Hi

if you dont mind me asking how did u get botox and how much did it cost

4

I had Fissurectomy and botox yesterday!!!!!!!!!!!!!!!!!

Ihave been in agony with muscle spasms for 4 months with an anal tear. It was worse than child birth....REALLY!

I researched on the web and realised that having the anal muscle CUT is the last resort. So I contacted the local private clinic and saw a Colorectal surgeon in Bath, but made sure he was also an NHS surgeon. NOTE some surgeons dont do botox but this one does. After seeing me he put me on the local NHS list and i waited 5 weeks for the surgery. Privately it would have cost £1500, which is money i do not have.

I was in for the afternoon on the NHS had a general and although i am a little sore and some bleeding from BM today the spasm has gone.

Prior to this i had tried EVERTHING; analgesic, GTN,Anoheal...you name it i tried it. The best thing is to get the botox early otherwise the tear/fissure is too old to heal.

For treatment whilst you are waiting for an appointment ask your GP for Buscopan. It is a muscle relaxant tablet which is used for IBS but relaxes you rectum as well.

Keep your BM's VERY VERY soft!!!!

I will post on here again with an update soon.

PS try Sudocream. It protects the fissure for the stool to slide over.

5

NOW 4 days post OP. NO SPASM AT ALL. NO PAIN EITHER. But I have only had one BM and so am trying everything make me go!

So far so good with the OP.............

6

Now six days post op. I have had bad \"spasm\" pains after BM's which have required me to take Buscopan and pain killers, which is not good news and I am hoping this will ease off in the next few days.(the spasm lasts 1-2 hrs.) This is probably caused by the morphine I was given after the op which also caused me to be a bit constipated. This is being \"shifted\" by fruit/water/salad/prune juice etc etc.

However the good news is that the anal muscle is relaxed and this is what will allow the fissure to heal As long as I keep the stools loose to not stretch the fissure further.

I hope all this is useful to people. I am being graffic I know but at least others may benefit when searching the net for help as I did 4 months ago.

Update soon!

Happy pooping.

7

19 days post op.

To be honest when I have a BM in the mornings the Spasm pain is pretty bad!

BUT if I take shower/douch immediately and Ibuprofen and paraceptamol the pain goes in half an hour.

I am waiting for the fissure to heal now which may take a few more weeks but so far this is nothing that I did not expect.

Happy pooping!!!!

8

It is now 2 weeks and 3 days since botox and fissurectomy AND GREAT NEWS!!! I have had no pain or spasms for 2 days!!!

I was concerned during the first 2 weeks but can honestly say that I am possitive about the final outcome of this procedure. I can still feel the fissure is there BUT NO PAIN .........HONEST!

YIPPEEEEEEE

Happy pooping

9

its good to know ur better. on 7 nov i had 2 piles banded, a fissure sliced out, botox and skin tags removed. after the procedure the pain was worse than i had ever experienced but now after 3 weeks im feeling more relaxed but only coz i havent let my pooh harden. im having \"fruit n fibre\" morning n evening and going for a BM after every meal. its annoying having to go to the toilet so often but its a far cry from the pain ive suffered for the past 9 years . just wondering how bad the pain will be when the botox wears off. but all u other sufferers out there, dont leave it so long and find out what suits u. i cant sit for long or go on long car journeys n i cant go out so much in case i need the toilet. this really takes over your life, but its a far cry from the pain i have suffered in the past. also, pro op, u may feel like u wanna end your life n curse the surgeon for making the pain worse than ever but believe me the surgeons know its better in the long run,, trust them and take what ever procedure they recommend. its taken me 9 years to get enough courage to be examined properly....its not possible under normal conditions, only under general anaesthetic, but dont leave it so long like me. 9 years of pain has taken alot out of my body and my hair is about 30% grey, n im only 34. lets see what the future holds for me! i know it will reoccur when the botox wears off.

10

1 month post op and only small amount of Spasm/achy pain when I have had a busy day. Yes I do keep my BM soft also by eating Allbran every morning and alot of fruit. I only have a BM once a day.

The other day I had a good look with a mirror and it does not look like the fissure has healed yet but the botox must be working as I have no pain during or after BM. So far so good. CRS appointment end of Feb 2009 which is when the botox will have worn off. Here's hoping that it has healed by then!

11

It is now 8 months since my Botox and Fissurectomy. The good news is the YES IT WAS successful!!!!

I have no pain BUT an occaisional \"ache\" when I allow my stools to get hard so I make sure I have a BM EVERY day. If I dont eat Bran for breakfast I take a sachet of Movicol in the evening.

MY TOP TIP...........THE EARLIER YOU GET SOMETHING DONE THE BETTER THE OUTCOME! DONT BE SCARED OF HAVING SOMEONE LOOK AT YOUR BUM....THEY DO IT ALL DAY!!!!

12

Hi Sarah

Can you provide details of the surgeon you saw who gave you botox. I've tried everything and this seems to be my only option left, but my consultant told me they don't do this procedure on the NHS. I've been struggling with this for 9 months now everyday painful bowel movements. I had a sphincterotomy which solved the problem of the spasm but the fissure still hasn't healed! Your post has really given me help so nay details of clinics or consultants would be hugely appreciated.

13

Hello everyone,

can I ask, how are you all now? it is Nov 2010, some time after your postings.

do you still agree with the botox?

does the site of the injection hurt?

do you or have you ever used a dilator?

what does BM mean?

do you see an end to the pain?

14

Hi !! im 9 months into suffering daily with an AF.....My surgeon wants to do Botox injections because surgery could cause permanent damage.......I want to do it for relief and as an effort to avoid surgery..... Can anyone please tell me if they lost bowel control after and if so how bad ? I know the botox only lasts for 3 months so i figure temporary loss of control is better than permanent loss of control that surgery can cause......

I want to schedule the procedure ASAP so any and all answers are appreciated..... How long did you take off from work after the procedure also ??

Thank you soooo much : )

15

jennifer...my advice is to go for it, it will just take half a day at the hospital but once the area is relaxed it helps to heal the fissure and get out of that vicious circle of repeated tearing and stretching and excruciating pain. hopefully u only need that one day off work. i went for botox a third time 2 years ago and the surgeon decided i didnt need it again and instead she sorted other problems out such as the piles and fissures....this was my third surgery. but thankfully since nov 2010 im pain free...after 10 long years of suffering. the loss of control may vary from person to person but for me as a result i would say i cant keep it in 25% of the time but it depends on how loose the motions are. but overall after years of pain and painful procedures i have my life back....it was worth letting those doctors poke around down there.

jennifer, 9 months of AF is not so long compared to my personal experience, but u r lucky that your surgeon has suggested botox so soon...dont hold back!!

16

I am a 51 yr old male - just had second round of Botox - first was Oct 2012 - made pain of going to loo much better but it wore off and by March the pain from fissure had returned.

So 2 days after Botox injection and an anal skin tag removal and I am in a fair bit of pain.

Lying on side in bed writing this.

I think pain will lessen in a few days as Botox takes hold but have to say that yesterday's BM was just excruciating - during was like someone slicing with a knife and then rubbing lemon juice into a cut - then the afterburn!

I am taking Naprosyn and Paracetamol for the pain. Plus at night to help me sleep Tylenol PM - has a sleeping agent which can cause constipation so I also take lactulose and Senokot.

It really does take over your life and I have to plan around going to loo in morning first - as when I need to go - I gotta go - no questions!

I'll keep you all updated on how my post-op progress goes.

Stay strong if you are in pain and know that others like me know how bad this is - how painful and how wearing down it becomes.

Jeff

17

Hi,

I had botox and a fissurectomy 10 days ago. It was all going o.k. Until two days ago and now I am in severe pain after every bowel movement such that I hadn't experienced before the op. I wasn't advised to expect this and was only told that I might have some 'tenderness'. I had started to manage the fissure by keeping a high fibre diet and taking pain killers. But suddenly I am no longer sure that I am eating the right foods. I was going for fibre, nuts, seeds, whole meal bread etc. but should I be going for just veg and fruit for a while to avoid bulking up? I am in so much pain and starting to feel depressed and am in tears a lot. No-one else seems to. Understand the pain.

I have used fybogel for a while which normally helps keep me regular. I have just bought. Some dulcolease to soften up. I hope I can use the two together?!

I wasn't advised about diet or sits baths by the consultant, I was just told 'don't get constipated'.

Am really not sure what to do and can't see an end to this....

18

Hi JMC40

Is a fissurectomy where they cut the muscle a little (Lateral internal sphincterotomy - LIS) - or something different?

Anyway - to give you an update on what happened since my last post - 7 days after my Botox on May 3 - I had to go to hospital as the pain I was experiencing was off the chart - I like to think I can take pain but this was way beyond the normal 8/9 pain levels (out of 10) I had come to endure.

So after being assessed I was giving intravenous pain drugs and then eventually (as nothing was even touching the pain) I was giving morphine - than helped - I went in at around 1pm and was back in theatre at 10pm - the consultant wanted to check nothing had become damaged or infected following the botox.

I awoke around 1am back in a side room at the hospital ward and managed to speak to a registrar (UK version of consultant's assistant - kind of) who said they found nothing of a major concern.

I left hospital with a bag full of pain killing drugs and it has taken me nearly 2/3 weeks to get back to anything near how I was prior to going in for my Botox 2nd round.

I only eat salads and veg and fruit and rarely bread - never pizza or meat etc - no crisps - basically all the stuff I love. One positive is that I have shed almost a stone and need to badly.

I tale Lactulose each day and also Fibogel (2 x pkts if I remember) - I also take some Magnesium Hydroxide Mixture (BP) - couple of tablespoons each day - and finally 1 senokot before bed.

Each morning I hit the toilet and its super soft - sometimes too much but I am terrified of a solid/hard poo.

This way I can at least lead some sort of life.

So my advice is hang in - the pain will get less - just ensure you drink loads of water - dont worry about over doing the different looseness/softeners because it getting the poo to come out and not hard the will give you some time to repair up inside.

I have no idea what the future holds and if I will ever get this gone. In hindsight would I have gone for Botox twice - honest answer is no.

I know it works for some people - but after my experiences all I can say is a HUGE FAT no to Botox.

On an ionic note: they took of a skin tag as well when doing 2nd round of botox but as I had the worst poo of my life ever day 4 after botox (lots of blood dripping bath etc) - I have a new skin tag (bigger) on the other side!!!!

So I am going back to consultant in 10 days time to see if its poss to take that off without ANY invasive up the bum work - if it does I will just live with the skin tag.

I still get this burning each day which just comes and goes - so got to try and not sit down too much.

I understand your depression and tears and all I wanted to at times was to talk face to face with a fellow suffer - nobody but yourself or someone who is going through it can truly know the agony and relentless pain - it wears you down, makes you cranky and irritable and live is frankly ■■■■.

BUT - think it will get better and to recap

1. DRINK LOTS OF WATER EACH DAY - min 2 ptrs

2. TAKE LACTULOSE or equivalent

3. TAKE FIBOGEL

4. EAT FRUIT

5. IF YOU ARE STRUGGLING TILL TAKE MAGNESIUM HYDROXIDE

6. TAKE 1 SENOKOT TABLET BEFORE BED

Don't eat bread too much and make sure its high fibre.

If you get that terrible burning and stinging after BM then used cotton wool pads soaked in Distilled Witch hazel to clean inside (go gentle) and do it till the pads are clean (nothing showing on it - it does help.

I always use wet-wipes and then shower the area thoroughly.

Lastly, getting relaxed helps and some people have found that Valium can relax you and your muscles - have to say I am taking some and find it does it - but then I think I like the sensation of being chilled just as much!!

I wish there was a support group in Wiltshire, UK - where I live. So if anyone who is a fellow suffer wants to chat or whatever then just reply or Private Message me (if site allows this). Because at end of day just talking sometimes to someone who really knows what this is lie can make a huge difference (IMO).

Stay strong - nothing bad (or good) lasts for ever - it will get better!!!

Jeff

19

I forgot to mention that when I went into theatre at night - the consultant injected a pain killing/deadening agent - directly into my nerves inside my anus (I was out cold by then thank god) - that was total relief - when I came to I could not feel a thing - sadly it wore off!!

If the sold this in easy to take form we would all be buying it!!!

20

Thanks Jeff,

Fissurectomy is where they cut out the fissure in the hope that a clean wound heals better. I have since learned that not all doctors agree it's a good way forward.

I haven't heard of magnesium hydroxide, I'll look it up.

It's just all such hard work, I thought I was getting better but it's going to be such a long process.