My experience with a chronic fissure (2 years +)

My first episode was after a pretty hard stool, the next three/4 days were agonising, severe hemmahroids and a fissure it was like pooping glass. I was prescribed a steroid ointment alongside syringes of instillagel (i swear by this stuff, get some guys). This episode lasting 2 weeks or more, i'm a grown male in my 30's and these two weeks were horrendous, i was sobbing crying because of the pain and the hopelessness i was feeling and have not cried for 20 + years to give you an idea of how bad this stuff can be.

I was then prescribed rectogesic by the GP and a referral to specialist at thomas' hospital in London. The rectogesic seemed to help, substantially but I could tell i still had the fissure, BM's werent particularly painful but i could tell I still had it. I was only prescribed one month sadly so after stopping i had another horrible episode. (Where the glass feeling comes back, with streaked red blood).

I've tried ALL creams going nearly, hemosan (herbal), anusol, germolene, suppositries with hyaluronic acid, and recently i'm trying one called mayong musk. I recommend you all look on amazon.com and the reviews, so far it seems to be actually helping somewhat.

This is my final attempt at natural healing, as I have an appointment for botox - although the surgeon did keep saying that botox could cause permanent incontinence and they don't know why this is - despite me not seeing much literature of this, i'm not sure why he says it as I havent been able to find anything about permanent incontinence from Botox.

My last episode was roughly three weeks ago, again the glass feeling when pooping. I decided to fast for 48 hours and skipped two BM's which I do contribute to it healing up somewhat. Since then, i've been able to go toilet everyday without agonising pain and i'm currently taking movicol 1.5 x a day + twice daily rectogesic, 3 sitz baths a day and then applying this mayong musk ointment inside where i believe my fissure is.

I am so scared of the incontinence that I question whether I should just be very careful with my diet, and my routine to make sure I remain how I am currently where the fissure is there, but not causing me severe pain when going toilet.. I have tried everything .

The worst part about this whole process is that I feel like i'm healing, things are getting better, pooping becomes easier and less painful, then all of a sudden for no rhyme or reason, it literally just triggers full blast again, rips open and then the cycle continues. It is frustrating.

The surgeon did mention occasionally a fissure is not able to heal because it has localised infection scabbing over it preventing it healing, so sometimes they can just scrape it away to allow the fissure to heal, if this is the case for me it could explain why the maying long musk ointment could be working as it is fairly medicinal and judging by the smell alone is extremely antibacterial. I would recommend some of you to give it a try if you are running out of ideas as it does seem to be putting me in a better state than i have been in a while.

Fingers crossed it heals up this time, but 2 years going through this now I am starting to come to terms with the reality that I may have this for the rest of my life.

I am interested on the botox incontinence thing, were you guys told that it could cause permanent incotinence? Because if it can, then I don't see why it would be worth doing over the surgery, especially as judging by threads on here it doesn't seem to help in alot of cases...

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