poopreport : Pooping Health :

will botox help with constipation?

Posted 01.28.2008 by Motherload (1057)
Grace asks,

I had three sphincterotomies because of an anal fissure. I am better but not well -- I'm still suffering from severe constipation and my bowels only work with multiple laxatives. I had Botox injections that did nothing to me. A second surgeon told me that they should be given under anesthetics, and that wasn't my case. So he wants to give the Botox injections again, but I'm scared of the results. And what good it is going to do to me? Is that going to help me with my constipation?

Please give me your opinion. I feel like going to the toilet all day long, like my poo is there but it won't come out. I'm sixty-one years old with diabetes and pernicious anaemia. Thank you very much.


Dear Grace,

The whole idea of getting a botox injection in the anal sphincter is to get the muscles to relax enough to be able to heal the fissures. It is not intended to cure constipation. That has to be dealt with from the other end, by drinking plenty of fluids and consuming enough fiber and/or supplements to prevent the constipation from occurring in the first place.

Using botox in conjunction with the sphincterotomy procedure is a relatively new practice, and it is not known how effective this therapy truly is. Studies have shown the healing rate to range from sixty to ninety percent. Botox has become the drug of choice for this type of therapy due to the severity of side effects of the other commonly used medication, which was a diluted nitrogen paste. This paste apparently causes incapacitating headaches in many patients, rendering it less than desirable.

According to the research that I saw, it is common to have to have the injection repeated at least once during the healing phase of the surgical procedure, but full recovery is expected with no long-term side effects from the botox. The paralyzing effects of botox is what allows the healing to take place, but that means there can be some anal leakage for a few months. This is usually minimal, however, and does clear up once the botox wears off.

Thanks for asking Motherload!

Motherload is Certified Nurse Assistant as well as an IBS sufferer, which means she knows a lot about poop. Got a question for her? Ask it here.

Thunderbox (828) -- 01.28.2008

Holy shit!!!

I`ll restrain my comments on account of Grace`s mature years. But an injection, a needle in the ringpiece is just such a heinous concept. I hope you don`t need any more of those, Grace. I`m going to have nightmares for weeks now.

prarie doggin (1974) -- 01.28.2008

I'd rather shit a sea urchin.

Fudgepump (366) -- 01.28.2008

An injection in the o-ring? Heinous is the word, for sure. If it helps the anal defect heal then bring it on, but...DAMN! Just like so many other procedures that are just as nasty as the condition they're treating.

Bilgepump (1643) -- 01.28.2008

Don't forget the added aesthetic benefit of full, pouty butt lips

prarie doggin (1974) -- 01.28.2008

Yes, that "like I sat on a glazed donut" look.

Logjam (2417) -- 01.28.2008

Bilge. Pouty-lip look? I thought that required silicone. Wouldn't botox simply remove the wrinkles, making it impossible for your ass to scowl?

Bilgepump (1643) -- 01.28.2008

Motherload suggested collagen treatments, but I stand by the fact that if you fill in the wrinkles, or take them out, (semantics) you would essentially have the same effect, would you not?
Regardless...I like my wrinkly old bung port just the way it is...

Logjam (2417) -- 01.28.2008

A thought experiment. Imagine a wrinkled sheet and two treatments: 1) hot iron 2) drape over doniker and wait another month while he continues to stuff his face. Wrinkles gone in both cases, but only one results in pouty lips.

Great comment! +1 point
Bunga Din (1239) -- 01.28.2008

I've been using some wrinkle cream (self made I might add, a tincture or unguent if you will of pine extract and rose hips) on my stinky winker recently and it has tightened those wrinkles considerably. I visited my colon hydro-therapist and she said I already looked ten years younger.

Logjam (2417) -- 01.28.2008

Don't ya just love it when you do one of those little things and someone notices?

shitwit (545) -- 01.29.2008

Thunderbox said it all with respects to Grace's maturity and the possiblities of this topic. I can't imagine taking botox to the pucker hole and then having anal leakage for a brief period. I think one leak from the ring would be enough to make me eat whatever bunging foods there are to prevent a repeat perfomance!

Grace, I wish you all the best with your starfish. Just keep eating lots of salad with lots of olive oil, and wash it down with apple juice. Don't give your guts the chance to horde any more logs. Take up beer drinking if you haven't already - that might help too.


_______
Rock-n-roll! Poopy-poo!

Hieronymous Bowels (122) -- 01.30.2008

I agree with shitwit about the olive oil and apple juice, but whatever you do don't touch a beer! If you start drinking beer when you've got doctor's poking around down there you'll get all inflamed and end up with a set of hemorrhoids that'll make botox in the pucker-hole seem like childs-play.

grace (1) -- 02.01.2008

thank you for your opinion, I had the botox injections yesterday, I'm still in pain, how long does it take for this injections to start working motherload, I trust you, you know more than Drs do. thank you

Motherload (1057) -- 02.02.2008

Grace, as I said before, the injections are to paralyze the muscles so that the delicate skin that has been ripped apart can begin to heal, whether you are dealing with a fresh surgical site from repairing a fissure or just the fissures themselves.

Right now you would probably greatly benefit from the use of Metamucil, Colace and/or Miralax. You want to keep your bowel movements as soft as possible to prevent reopening the fissures.

Follow your doctor's instructions concerning your diet and exercise because even though you put a lot of faith in my advice, you must keep in mind that I am NOT a doctor, and any suggestions that I make are to be discussed with a real MD to ensure your health and safety.


_______
Always looking out for number two!

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