Very quick summary. Back and forth to several CRS over the past 3 years . Eventually got sent off to dermotolgist nearly 4 months ago , he prescribed liquid parafin and anti fungal steroid cream , this ended up being pretty good, the redness was all but gone the pain was down significantly, and the 'main' fissure which was just above the anus between the 'cheeks' has not returned since. I actually suffer from several tears in the skin which have still been coming and going ,but hot as bad as before and it was always the main fissure causing the most pain.
I have carried on using the liquid parrafin to keep the area well moisturised. However yesterday I went to the toilet and suddenly felt an extremely sharp pain . As I looked into the toilet there was blood splattered everywhere

I also noticed in the mirror small amounts of blood dripping out of anal area. Been in pain ever since though the bleeding has subsided .
Used a webcam to take a look and all the tiny tears right ON the anus are there to see. Plus some redness has reappeared on the skin around it.
This is absolutely hopeless And I really feel like I have exhausted all options and dont know what would actually work to fix this problem . Or even what's actually wrong with me in the first place !