Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
Can A Sphincterotomy Help When Botox Injection In The Sphincter Muscle Didn't Improve Recovery From An Internal Anal Fissure?
I am 78 years old and have had an internal anal fissure for about a year. I have recently had botox injection in the sphincter muscle. It had no effect. I have been advised that a sphincterotomy or an anal advancement flap are my two next options. I am leaning toward the sphincterotomy. Do you have a recommendation? My email address is YYYY@YYYY . Thank you.
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
-Get treatment for chronic constipation or ongoing diarrhea. -Sitz baths, or hip baths, can promote healing of an anal fissure. -By soaking the rectal area in a tub of warm water two or three times a day for 10 to 15 minutes you can clean the anus, improve blood flow, and relax the anal sphincter.
Hope I have answered your query. Let me know if I can assist you further.
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Can A Sphincterotomy Help When Botox Injection In The Sphincter Muscle Didn't Improve Recovery From An Internal Anal Fissure?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. -Get treatment for chronic constipation or ongoing diarrhea. -Sitz baths, or hip baths, can promote healing of an anal fissure. -By soaking the rectal area in a tub of warm water two or three times a day for 10 to 15 minutes you can clean the anus, improve blood flow, and relax the anal sphincter. Hope I have answered your query. Let me know if I can assist you further.