hi
i had this chronic fissure for past few years. i would just increase fiber intake and it would go away after few days.. would see a tiny drop of blood or streak on stool .this would happen 3-4 times a year.

this year it happened but the blood drop was slightly bigger.

so i went to doc. he gave duphalac and gtn.

i used gtn for few days and when stool was soft i there was no blood in it. i startted gtn after few days, after 2-3 days i felt my inside anus and outside sphinister went tight.
i am still using this gtn .. i was suspecting this time blood was a bit more it could have gone tight due to that .but i am suspecting gtn might be the culprit.


i am 100 % sure that gtn could be the cause ..what you say ?

should i stop it and is there any other thing which i can apply on inner lining of anus to help move the stool easily ?
any concotion ?

I've been using GTN ointment for a number of years, but haven't come across this side effect. Still, everyone is different, and it's possible that you have an allergic reaction to GTN. The alternatives are fairly well known on this forum: nifedipine and diltiazem, though some people have an allergic response to the latter. But you could try these in place of your GTN, and maybe one of them would suit you better. Best to consult a CRS, if possible.

Neither of the are available in my country.
Can I use sudocrem or Vaseline?

You could use either or both. But do consult a qualified medical professional - they may be able to offer you some more effective medication.

David