Hi all,
I have been suffering from an anal fissure and piles for the last 5 months. Approx. ten weeks ago I had a botox injection for the fissure, and rubber band ligation for internal piles. I have also had quite a few external piles flare-ups in the last few months.
I am still experiencing pain following a bowel movement, but not after every bowel movement. At the moment, I have one bowel movement per day, sometimes two, in the morning after waking up. I can have two or three days without feeling pain following a bowel movement, but then for no apparent reason there's pain after a BM. I have followed the advice given by my GP and consultant. I've been eating plenty of fibre, drinking approx. two litres of water daily, stool softeners, taking sitz baths, using ice packs, adopting the squatting technique, using a hand-held bidet.
I had a follow-up appointment with the consultant 6 weeks after the botox injection. He thinks there's no problem because the sphincter is relaxed and that I'm doing fine. I tried telling him that I don't feel fine. He said that I can't get another botox injection for 6 months, and that he doesn't perform surgery because of the side effects. Anyway, it wasn't really clear if he's going to do another botox injection or not. That's why I hate dealing with GPs and consultants. Each appointment is feels rushed, and I end up coming away feeling not listened to.
The botox is due to wear off in a couple of weeks time. I'm extremely worried about what will happen after this. I thought at this stage everything would be healed. Is it normal for a fissure not to be fully healed ten weeks after getting botox? Will this fissure ever heal?