A member asked:

Where do botox injections for anal fissures go? do they go up there? like where the fissures are? does it hurt during or after? help!

4 doctors weighed in across 4 answers
Dr. Robert Alexander answered

Specializes in Plastic Surgery

IN AREA OF FISSURES: Botox is injected into the area around the rectum and fissures in order to limit the muscular pull caused during contraction. This is believed to permit healing to occur without repetitive injuries. There is a minor amount of discomfort during the actual placement, but it is done with very small injector needles. There is typically no pain after the injections, and the effects start gradually.

Answered 1/14/2018

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Dr. Eric Kaplan answered

Specializes in Colon and Rectal Surgery

Yes: It does go up there!. Minor pain, however in my experience may relieve the pain of an anal fissure but require repetitive injections for long term relief and doesn't really help healing of the fissure.

Answered 8/20/2015

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Yes: Yes. Right in area of fissure. Mild discomfort. Can really help heal the area.

Answered 8/20/2015

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Dr. Paul Grin answered

Specializes in Pain Management

Anal sphincter: The internal anal sphincter,one of two muscles that control the anus. This sphincter is always under tension. Botox may reduce the spasm and allow the fissure to heal.

Answered 1/14/2018

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