Chronic fissure. Recent skin tag removal

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Had a couple significant skin tags removed 6 days ago.  Nasty fissure (third time in 17 years and worst flare up) Using nefedipine/lidocaine compounded oinment 3x daily and will do so for 6 weeks  Sitz 2-3 times per day.  Drinking water and doubled fiber intake as well.   Still having painful BMs with some blood in stool as well as toilet paper.  When can I expect some relief?  Surgeon said I would be better in a week and so far,minimal relief at best.  Afraid to sit on toilet too long so AM bowel movement takes 2-3 attempts to completely empty.   Back to work August 6 and dreading it as it is a desk job.   

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