by Scientist2516 » 03 Dec 2013, 22:16
Bless you, PGA - you are always a source of encouragement!
Stillhoping, my whole journey began in May, and I finally stopped taking nitro in the middle of November.
I would say most days I have little or no pain. I get pain or discomfort if I either
1) don't pay enough attention to keeping my stools soft, or
2) overdo it by lifting something heavy, working too hard in the garden, etc.
My regimen at the moment is, porridge every morning with raisins and/or grated apple, sometimes almonds. Anything for lunch. I try to have something fissure friendly for dinner every day. Lentils or brown rice or quinoa. Lots of water all day.
If I'm worried I didn't eat the right things, I'll take 1 tablespoon of kondremul before bed. I use a hot water bottle under my bum at night, to relax the sphincter and get some good blood supply going. Ibuprofen if my bum hurts in the morning. No nitro or any other cream at the moment.
I really don't know if this will ever completely heal. If I have a big BM or slightly hard one, I get a sore bum! Will this ever go away? I don't know. I told myself to give it a year, because I noticed that any injury takes much longer to heal now I'm middle aged (50). This injury is in a place of daily trauma so of course it takes a long time. Also, I might have a naturally high anal resting pressure, which will slow healing a lot and put me at risk of a re-tear. So I'll have to be careful probably the rest of my life. But I'm not a naturally careful person! I tend to over-estimate what I can do, which gets me in trouble.
I don't know if that helps you at all, Stillhoping. I'd say your chances of complete healing depend on so many factors, including age, anal resting pressure, how long you've had the fissure, what treatment you get, and so on.
When I feel a bit despondent, I remind myself of what it was like 5 months ago!
Nifedipine/lidocaine, no help
Diltiazem, effective, but caused major rash
Nitroglycerine, effective.
Topical estrogen for final healing.
Gentle heat to bottom - pain relief, muscle relaxant
Kondremul mineral oil
Time - lots of time.
Status - Healed!