Connej, 5 more weeks? Haven't you had the fissure for over a year? If so and you are not getting any better, I would be inclined to be a little more aggressive. Did you talk to him about Botox?

Well it's been on and off there was quite some time where it was off. Yes he mentioned it but I think we will fully discuss it if it hasn't healed. I think part of his reasoning is that I have never actually committed to using the rectogesic for a full couple of months... so yeah I think it's fair enough. There has been improvement but there seem to always be set backs which is sometimes my fault because I forget to take metemucil :/

man thats rough. ive had mine since jan, brief heal, then back in mid march. ive been using nitro cream- sorta helps. id say to be much more strict with your diet, i know its hard but its necessary. nothing hard, crunchy, sticky/gummy, spicy, too sour, too carby or starchy, meat, dairy, or junk food. ive lost about 15 lbs, and am now out of shape. it really does take over your life, i know how you feel. i made a diary here it helps me mentally.

Hello all, another update:

I had a week of normality, no pain, no blood, no nothing.. however i have been ill this week with a virus, my stools have actually been much bulkier than usual and this morning, there was a bit of blood (( Now I'm terrified that this means all that progress will mean nothing, i am so sad, i just hate how this happens :'(

Hello Student, thanks for your reply

I agree it really does take over your life, it certainly has for me

Diet is a problem for me because I'm actually trying to put on weight at the moment, doctors have advised me to not limit what i eat because of fissure so long as i keep up my fibre intake

Hi Connej,
Don't give up! It takes over your life but temporarily, and things will get better!
A bit of blood is never that bad and lots of people experience this even when they are healing...it's important to measure your progress in terms of pain intensity as opposed to bleeding (unless severe or constant).
Don't give up on the cream and stick with it as advised. I had very positive results with Diltiazem, so do have great faith that these creams can really help some of us.
Weight gain comes as you start to heal and you figure out exactly what you can & can eat...it does naturally come back on (and has done for a lot of us after losing an awful lot and then getting ourselves back on track)...
I would suggest lots of avocados, nuts (well chewed) olive oils to help - I don't have an issue with moderate amounts of chocolate and would suggest the odd Snickers bar or something to that effect. It depends on what you find your bowels can handle.....Wishing you all the very best and stay strong :)

Hello Ever the Optimist,

thank you for your kind, inspiring words and advice :)

I just hope this is a little set back because i had my hopes up that i was almost healed completely :/

I will just think about the positives, it is MUCH better than it has been in the past

Connej, i feel for you.
I've been doing better and better, but because of my IBS, i'm now in more pain AGAIN. NOT as bad as it was though.
I have a tip you might wanna try :) when you go for a BM, Sit up STRAIGHT, place your fingers right behind your anus and PRESS WITH YOUR FINGERS. When you do this, your stool will take a different turn, and irritate the fissure MUCH LESS. And please let me know if it works for you!