After fissure surgery: bowel movements, care and signs of progress

Botulinum toxin or sphincterotomy?

Follow-up depends on the intervention. Stool regulation and avoiding straining support recovery; pain, healing and continence are assessed separately. Report new leakage rather than assuming it needs no review.

Bowel movements and activity

Follow prescribed pain relief, stool regulation, washing and dressing instructions. Discuss work, driving and exercise in relation to the procedure and symptoms. Avoid suppositories or enemas without approval. Track improvement rather than daily wound photographs.

When is urgent contact needed?

Fever, increasing pain or swelling, heavy bleeding, urinary difficulty or systemic deterioration needs urgent assessment. Keep team contacts and review dates. Persistent drainage without progress warrants examination rather than self-directed repeat antibiotics.

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