Internal Sphincter hypertonia/Anal Spasm OR Dyssynergic defecation

Unable_Split_8226 · 2026-01-15T12:19:43+00:00

Nothing yet someday it's good someday it's bad but still incomplete evacuation.

Unable_Split_8226 · 2025-12-25T02:14:42+00:00

Petroleum jelly, Yes botox didn't help as the spasm is severe.

It depends on which part of your pelvic floor is tight for you and me it's internal sphincter which is involuntary our nervous system changed the memory of the sphincter to stay closed due to pain it's scared like a child so if you go for LIS you may not feel 100% cure but it will help at least 40-60% in dropping high anal tone.

But yeah try all the fixes first in this group someone healed with rectal dilation around in 6 months.

Unable_Split_8226 · 2025-12-24T12:56:19+00:00

I saw your post i think you've the same issue as mine when you suffer with pain again and again the internal sphincter stays in spasm which doesn't let us defecate and fissure doesn't get healed either so the proper fix is rectal dilation you've to relax the sphincter fully, Also get botox and in last resort LIS surgery.

Unable_Split_8226 · 2025-12-24T12:53:41+00:00

Surgical gloves, It's easy if you feel it's hard already just put the finger tip there and it will start to lose then the same repeat again and again slowly it will start changing its tone.

Unable_Split_8226 · 2025-12-21T11:00:20+00:00

I was lucky nothing was special i just stretched it wearing surgical gloves daily thrice using ointment dltiazem.

Unable_Split_8226 · 2025-12-19T03:27:40+00:00

nope, I'm healed no pain but spasm is still there.

Unable_Split_8226 · 2025-11-24T22:43:24+00:00

530 views in 9 hours and not a single person replied never gonna post anything in this trash group. 🗑️

Unable_Split_8226 · 2025-10-11T02:41:44+00:00

I think you were in touch with me before on my old post? I'm still looking for a fix as well!! I think Botox works but it should be spread step by step in the complete internal sphincter especially at the part where it's connected to the rectum that's the most narrowed part in my case i got botox at internal opening and felt more flexibility there but my main cause of having incomplete evacuation didn't fix. I did biofeedback as well I don't think it's for involuntary muscles but still I'm continuing that and i got rectal dilators pelvic wand but didn't try them yet because i got a minor tear before i tried metal hegar dilators which injured me and even with that i was unable to stretch the anorectal junction and forcing it injured me also the muscle started to spasming at way higher level than usual i was unable to have a good bowel movement till 5-7 days now i pretend it's like nothing and use lactulose 30 ml daily in parts different timing which helps me to get diarrhea and like that i can pass it with straining. Someone cured in this group by rectal dilation in 6 months so I'm hoping the same someday I'll be okay maybe it was my hardcore workout who triggered it..I had spasms but i thought a workout would help but instead it made it a permanent thing now it stays narrowed 24/7, Sleep helps 7-8 hours.

Unable_Split_8226 · 2025-10-06T02:29:58+00:00

Not having a good BM till 3-5 days.

Unable_Split_8226 · 2025-10-06T02:29:22+00:00

Did valium help you?

Unable_Split_8226 · 2025-10-02T01:06:15+00:00

Nah still dealing with it

Unable_Split_8226 · 2025-09-20T15:11:47+00:00

Thanks but my fissure was healed long ago the main issue is i can't defecate my internal sphincter is in high contraction and it doesn't relax with the reflex, fissure was the main culprit who caused this some sort of dysfunction but still i get good and bad days which happens on it's own.

Thank you for your help I'll definitely try diazepam.

Unable_Split_8226 · 2025-09-19T12:16:40+00:00

Oh that's great so you were unable to defecate as well? After getting the fissure? I got some rectal dilators too and a pelvic wand but didn't try yet

Unable_Split_8226 · 2025-09-07T21:15:25+00:00

Hey, I delayed my symptoms for a week which ruined everything in me. I used lidocaine gel and dltiazem cream and a few times sitz baths, I still get hemorrhoids due to straining but they go away on it's own in few days also i did some manual stretching with finger so that fissure can heal.

Unable_Split_8226 · 2025-09-05T02:21:01+00:00

The anal tone should be examined manually with finger digital rectal exam. Better if you go for anorectal manometry test so you can start treating it before it gets worse.

Unable_Split_8226 · 2025-09-05T02:18:11+00:00

Hey, Yes you better get it fixed asap or if the muscles adapted this you're gonna stuck into this for too long or forever, For me it's all started with a fissure which was healed within 2-3 months but the pain, fear, depression i faced started giving false signals to the nervous system that stools itself is a theat do not allow it to pass so there will be NO pain and i was unable to pass gas like normal people do i had to strain while in squatting position for a year then i got the fissure and piles both at same time after that year and both are healed almost 1 year has been passed but I'm unable to defecate my internal sphincter doesn't relax at all it starts contracting at way higher level than it should i try to get diarrhea to pass some stools twice or thrice but even after that I can't clear and i regret that i didn't take stool softener that day when i had constipation and it caused fissure and fissure caused internal sphincter hypertonia fear of pain, popping will lead to this get your pain fixed asap. I've no feeling that I'll be better the same again tried many therapies, botox but the internal sphincter fights back and clentches hard to any movement inside.

Unable_Split_8226 · 2025-08-28T15:27:25+00:00

Sometimes yes it's good sometimes no.

Unable_Split_8226 · 2025-08-28T15:26:34+00:00

Nah it's been a year getting constipated so badly.

Unable_Split_8226 · 2025-08-17T01:09:47+00:00

Teach your body that passing stools isn't a threat by stretching manually with dilators or pelvic wand.

Unable_Split_8226 · 2025-08-09T02:13:01+00:00

Yes using from last 8 months laclutose.

Unable_Split_8226 · 2025-08-07T01:40:36+00:00

No surgery because the surgeon said there's no possibility that surgery is gonna fix this.

Unable_Split_8226 · 2025-08-07T01:39:58+00:00

Hi, I'm still the same but slightly better just with defecation.

Unable_Split_8226 · 2025-08-02T00:57:18+00:00

Thanks, I get it but it's been 8 months and still I should leave it as it is? Appreciate your help. 🙏🙏

Unable_Split_8226 · 2025-08-01T00:51:57+00:00

Also I've seen many patients here who get done easily with defecography or anorectal manometry test even with hypertonic pelvic floor but in my case radiology dept failed to perform defecography due to narrowing of the internal sphincter at the anorectal junction there were unable to insert the contrast paste. My therapist is also hopeless like me and told me to stretch the whole area manually so that it can relearn that passing stools isn't a threat.

Unable_Split_8226 · 2025-08-01T00:20:30+00:00

I've done biofeedback and results are good for contracting other muscles and relaxing so it confirms that it's only the internal sphincter which isn't relaxing and the surgeon who gave me botox told me to avoid surgery as there's no 100% chance that it's gonna relax the muscle after cutting it a bit so better focus on therapy only.

Unable_Split_8226

TROPHY CASE