by chachacha » 06 Jun 2015, 16:20
And as msimon says, only some people feel immediate relief, because the diltiazem's main purpose is to increase blood flow into the area so that the fissure can heal itself. It is not meant to bring you pain relief like putting on a cream to dull the pain, even though it sometimes helps to keep the spasms (if you have those) to a minimum. So if you don't spasm, the diltiazem will need time to increase the blood flow and get that fissure healed. I also agree that you have a very good chance at fixing this permanently, because you've started treatment so quickly.
Good luck and keep us posted.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017