I know how you feel I had Botox for my fissure an received a second fissure in the process now the second one flears up from time to time on top of the original one which makes me think maybe it's a sign I need to work more on the inside an not the outside like being redirected to the real problem like you said it's not a quick fix it's something you work on in all areas of your life. No one needs to get me or agree with me that's just my view