by chachacha » 29 Oct 2017, 16:00
I can't help you with a diagnosis, but can tell you that it's very possible for a CRS not to be able to see a fissure, even after digital rectal exams and flexible sigmoidoscopies. My CRS never saw my fissure until he did the LIS surgery, but was pretty sure that I had one because I had both a papilla inside my anus and a sentinel pile outside it. Also, when he pressed on the area that a fissure is most commonly found at, I almost went through the roof because of the pain that it caused! Mine was not visible to him though, because I have massive internal hemorrhoids, that blocked it from physical view, until he went inside and could do a full-on examination of the area.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017