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Grand Junction, CO
A 18-year-old female 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 doctor answers4 doctors weighed in
Dr. Robert Alexander
Plastic Surgery 27 years experience
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.
Dr. Eric Kaplan
Colon and Rectal Surgery 42 years experience
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.
Dr. Louis Gallia
Oral and Maxillofacial Surgery 45 years experience
Yes: Yes. Right in area of fissure. Mild discomfort. Can really help heal the area.
Dr. Paul Grin
Dr. Paul Grin answered
Pain Management 36 years experience
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.

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Grand Junction, CO
A 18-year-old female asked:

What is the purpose of using botox injections for anal fissures? Does it go up your butt? Does it hurt? What are the side effects?

2 doctor answers7 doctors weighed in
Dr. Otto Placik
Plastic Surgery 34 years experience
Relax sphincter: The purpose of Botox is relaxation of the rectal sphincter which is a common source of pain and may allow faster recovery. Risks are low with little probability of spread. Excessive injection may result in fecal incontinence. It involves a few injections and the pain may be mitigated by topical anesthetic.

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Last updated Jan 14, 2018

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