Oh I have learned sooo much on here in 1 day than repeated visits to my GP
No I don't think it is compounded and I had no idea that if put on at the opening it relaxes the entire internal sphincter...my consultant def said to make sure it went on the fissure...which may I say caused quite a bit of pain as my sphincter was exceptionally tight when in the spasms....do the NHS know this stuff and just can't be bothered taking the time to explain fully...gggrrrr