A Pain That’s Hard to Discuss

[Nelson Vergel]

Anal fissures are not exactly a topic for ****tail party conversation, and the reluctance to discuss them often leaves sufferers thinking they are the only ones affected.
In fact, this potentially painful, debilitating, anxiety-provoking condition is quite common. If a fissure doesn’t heal on its own, it can usually be treated and recurrences prevented with conservative measures.
“Most people don’t know they exist because nobody wants to talk about them,” Emma Rushton of Nashville, said in an email that urged me to write about the treatment and prevention of these tiny tears in the anal opening. “Believe me, when I was struck down by mine, the last thing I wanted to do was tell people.

http://well.blogs.nytimes.com/2013/11/18/a-pain-thats-hard-to-discuss/?_r=0

 

[Nelson Vergel]

BOTULINUM TOXIN (BOTOX®) INJECTION

Botulinum toxin is injected directly into the internal anal sphincter muscle to promote anal sphincter relaxation and subsequent healing. This injection results in full healing in approximately 50-80% of patients. Injections are performed as an outpatient, same-day surgery procedure and, occasionally, can be performed in the office setting. Recurrences may occur in up to 40% of patients, but patients may be re-injected with good rates of fissure healing. Patients in whom Botulinum toxin injection fails are often recommended for traditional surgical sphincterotomy.

https://www.fascrs.org/patients/disease-condition/anal-fissure-expanded-information

 

[CoastWatcher]

I had an analmfissure surgically repaired (successfully) 12 years ago. The pain prior to surgery was as intense as anythig you could imagine.