I think for the first 6 months or so I'll just see how it goes (I'm keeping everything crossed I can avoid reopening it with careful management but I really don't know what a c section recovery is like and slightly nervous about being able to stay regular) and then my surgeon wants to do a proper examination to rule anything else out as he couldn't do one before as it was too painful. I would quite like the sentinal pile / skin flap removed but wouldn't risk that if it could hurt the fissure again so will see what he says. Have you considered surgery yet?

Ok keep me posted! My fissure healed in the second trimester last pregnancy but I opted for c-section just in case. After the c-section I just reaaaally went hard on making sure I could poop before we left the hospital. It took 3 days and they discharged us right admirer! I took Miralax and colace but what helped the most was a dull Olaf suppository. That also released all the trapped gas and it was sooo helpful. I kept on my regimen when I got home and honestly it’s been pretty uneventful since then until I got pregnant last month. I think in some ways the weight of the baby helped loosen my pelvic floor. I got the nifedipine and Diltiazem ointments a couple times when I thought I was re-tearing but it helped clear things up in a few days and I haven’t really had any real fissure issues after birth til now. I bet you’ll heal up fine! Just keep on the regimen especially if breastfeeding as it dehydrated me.
I see the surgeon in March.. praying I’m healed by then. Saw her last time and same as you, I couldn’t tolerate the anoscope. So she just said follow up after birth. Did your Dr see the fissure or just guess at it?

* right after
** Dulcolax suppository

Stupid autocorrect on my phone lol sorry!