Yes, probably. You should expect some pain and discomfort in your bottom (anus) after anal fissure surgery. The pain is usually worst during the first seven days after the operation and should get much better after this first week.
It’s going to be more comfortable for you to poo if your poo is soft. You can help soften your poo by drinking plenty of fluids and eating foods that have fibre in them, such as fruit and vegetables and wholegrain foods. Make sure you take any laxative that your surgeon has prescribed too.
If the fissure doesn’t heal, or it comes back after a sphincterotomy, your surgeon may suggest tests to check whether the surgery went to plan. These may include an ultrasound scan and tests to see how well your sphincter muscle is working.
Your doctor may also investigate whether there is an underlying cause for the fissure. An underlying medical condition, such as Crohn’s disease or a sexually transmitted infection, could be causing the fissure. This means your fissure may heal if any underlying conditions are treated.
Your doctor may suggest trying the same treatment again, or another type of treatment, depending on your individual situation.
Your doctor might suggest other treatments instead of a sphincterotomy if you plan on getting pregnant, or if you’ve had a complicated birth. This is because you may be more likely to develop incontinence following a sphincterotomy.
You’ll usually be offered botulinum toxin (Botox) injections as a first option if self-help and medical treatments haven’t worked. Anal advancement flaps can also be another option for people who are at greater risk of developing incontinence.
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