Thanks for that detailed reply Suzy. I really appreciate it. I might go back and ask my CRS to test me for stenosis. Is it simple to diagnose? I have normal resting pressures. However, I had an Endoanal Ultrasound that shows I have a 2cm anal canal while the normal range is 3-5.5cm. Does this sound like an indication of stenosis?
I have seen 3 CRS's and they all say they havent seen a case like mine before. For the last 1 year and 2 months I have had an acute fissure that heals and tears every 1-3 weeks and I have what I assume is the typical fissure spasming (2 hours after BM I am in agonising pain for 4-7 hours).
If you dont mind, can I ask you whether you had a typical chronic fissure? (hypertrophied papilla and visible edges of the internal sphincter muscle) or did you also go through a heal/tear cycle like me?
Thanks again!