Hi,
I'm new to the forum, but have been dealing with this fissure for the past year. Some background: I'm a 25 year old gay male who is anoreceptive. My fissure developed after sex, but went away after 2 weeks of sitz baths, metamucil, change in diet, and some suppositories. Unfortunately it reappeared 6 weeks later. I eventually went to my GP in March 2012, who prescribed some nifedipine with lidocaine. Two weeks later, my fissure reappeared. I decided to go to a CRS in May, who told me to continue to use the nifedipine because my fissure looked like it was healing. I went back for a follow up in August and the CRS said the fissure healed but she then excised what she thought were anal warts (the biopsy came back negative, thank God). Once I healed from that, my fissure felt fine until fairly recently. I became having some burning in my rectum and looked and saw that my fissure was back. Again I applied the nifedipine and scheduled an appointment with my CRS. Upon inspection, he couldn't find anything and basically told me that there was nothing I could do because my fissure wasn't chronic. I'm frustrated because I'm not a candidate for LIS since my pressure is normal (they tested). I'm not sure what to do because I've been going through this for the past year, my bms have remained soft, and the fissure just seems to sporadically rear its ugly head. On top of that, this has seriously affected my sex life with my live-in partner of 3 years. He's been really supportive, but I am terrified that we won't be able to be intimate again (i'm only 25 for Godssakes). I am wondering what other people might suggest, or if anyone has had an "acute" fissure that keeps recurring. Should I get a second opinion? Could they perform and advancement flap on someone even when there isn't a visible fissure? These things are horrible.