My background
Have suffered with superficial anal fissues on & off since childhood (maybe twice a year) - always healed within a week or so
Bad problems began Aug '07 - fissure that was very painful on every BM, quite a bit of bleeding & then a spasm that gradually increased during the day.
Tried usual home healing regime but no improvement, eventually went to DRs in Oct was prescribed GTN which I used for 8 weeks. (He said I has 2 fissures 12 & 6 o'clock)
Gradual improvement, bleeding & pain on BM stopped within 1st 2 weeks but spasm continued. (PS no headache side effect!)
By this time I think I was developing a sensitivity to the cream as I had really red & inflammed skin visible around my anus.
Went back to DRs he prescribed lindocain/hyrdocortisone for the inflammation. I used this for a couple of weeks but was worried about skin thinning.
Anyway looking back I've now found a pattern to what is happening to me.
I have this spasm which progressively worsens throughout the day (although this is now slight discomfort not painkiller popping agony it was originally)
I'm trying to maintain bulky soft stools with fibre suplement (as this seems to held stretch out the spasm) I'm very regular - once a day within half an hour of waking !
But every month (at my period) a have a BM which doen't seem any harder than usual but I can feel everthing split (like an elastic band breaking).
I'm now an expert in examining myself in the mirror & when this happens it's always the same pattern - what looks like a graze oozing droplets of blood between 11 & 1 o'clock & 2 fissures at 5 & 6 o'clock.
I assume I've now just got really weak skin there from repeated splitting. These fissures are very superficial & will heal within a couple of days but the spasm goes on.
Have gien up on all prescribed creams as my skin is so sensitive but am using aloe gel & a product called Hemoclin gel which is natural aloe based designed for internal use.
Anyone any ideas ?