![]() There is a chance that in a small percentage of people it might not be effective and in that case other treatment options need to be considered. Another advantage is that it can be easily repeated after 6 months. Most people have at least some relief in pain with it. The popularity of Botox is because it offers a non-surgical option to treat chronic anal fissure. Potential side effects ( seen in a minority of patients ) include bleeding, temporary loss of control over flatulence/bowel movement ( incontinence ), allergic reaction to Botox, muscle weakness and postural hypotension. It is important to ensure that stools remain soft by taking a fiber-rich diet and stool softeners when prescribed. The effects of Botox start to become evident slowly over the next 72 hours, peak at 4 weeks and last for 3-6 months ( individual variation ). Painkillers may be used to relieve any pain from the injection. You can go home as soon as you are comfortable. We specialize in non-operative piles treatment, which could be carried out in the same appointment.Sentinel pile will not disappear with medical treatment. The entire process takes around 20-30 min out of which the actual injection time is around 5 min. You need an examination by General surgeon to determine whether these issues can be managed without surgery or if surgery is necessary. ![]()
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