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I have extreme pain due to fissures. I used diltiazem gel for this until my body developed a sensitivity to it. I'm now being treated with Botox. The Botox works great and lasts for three months.  I'm looking for other options to the Botox as this Botox shot has to be done in the OR. I've been told this shot is too painful to handle while awake.  So every three months when I need this shot - I go under anesthesia, get a physical and have blood work done. This is to be sure I am healthy enough for this procedure.  Anyone have any advice about Botox or other options they have tried?

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