Ok I know how you feel its odd how these things go from minor to chronic I don't understand how one goes from minor to chronic? That's the main issue it's not that we get one in the first place I've had them before an I had another from my procedure but they heal 7-10 days why do the odd ones go chronic the only difference with this one is it was caused 2 weeks after giving birth so maybe a more at risk time to get an start a chronic fissure really not sure. I hope your day is going well.

I think the degree of healing depends on how deep and wide the cut is. For you the main fissure happened during intense delivery. Ask your doctor how deep and wide yours is. Mine happened during a severe stomach virus diarrhea, wh9ch irritated the lining, made it thin, then sue to dehydration severe constipation occurred. I didn't know so much straining can cause issues. I didn't do softeners because I was frightened of the just passed diarrhea. So my cut is very deep and wide and the doc said that the chance of healing on its own is not so good and if it does a relapse is possible. So it all depends. Also the spasming muscles pull the edges of the fissure apart so so it won't seal.
I encourage everyone to find out how deep and wide their fissures are and make a decision before suffering endlessly. My CRS said in his 20 year practice he hasn't seen incontinence from LIS because they cut a small amount of muscle, not like before where they would cut three times as much.

Ok so the guy who did my Botox said it long but not deep I don't even know if I get the spasms I know my muscle closes off after a painful bm an then can be sore for mins or hours but I don't get the jolts of pain that have some people rolling on the floor like what some on here have explained, he also said he didn't remove the fissure or scar tissue because it's nice an soft an should heal which it does it heals well no pain with super super soft bms for 4-6 weeks then a normal or harder bm retears it, so does that mean I shouldn't jump at any lis or anything just yet as I can sit an function well main issue is during an straight after a bm it use to be worse right after having my baby's was when it took like 6 months to get back to where I am now pain just during an or a bit after

I think you have a good chance to heal then if your cut is not deep, especially now with the botox. Consider surgery if things don't improve afyer a second botox. If your discomfort is minimal, I would wait to see the botox outcome. But do try to experiment with firmer and bulkier stools. Take one tablespoon of olive oil in the morning on an empty stomach and one right before bed. That way your stool will be soft and you won't have to worry about hardness, but it will be wide enough from the husk to get these muscles stretching.

Great advice thank you I lived with it for 3 years then got pregnant again so it must be not as bad as alot of others it was strange the last 5 months of my last pregnancy the fissure disappeared after having it for 3 years then it came back after giving birth to my second son when he was 4 weeks old from a soft formed bm an so the conditions where more formed bms because of the pregnancy the relaxing muscle hormones an extra blood flow in that area if I can mimic those condition I may heal? I kind of feel like what if I get pregnant to heal my fissure haha but have a c-section to avoid the damaging effects of childbirth on the whole area if I had had a c-section with my youngest the fissure may not of come back!

Haha, a savior child. Not a bad idea

Day 16 update
Today was good my bm was a soft 3 an didn't hurt during just a bit of discomfort/burn inbetween that bm an the second half of the bm or second bm that followed within 1min of the first I applied the diltiazem afterwards an drove my son to daycare 10 mins after, feeling positive I'll increase the psyllium husk today as I've only been taking 1 teaspoon once a day over the last few days

I know the thought has crossed my mind a few times I was fissue free for 5months which really let me enjoy my pregnancy an the eating haha but I knew that after giving birth it may well come back so I made sure I ate an drank right but it still came back I also blamed breast feeding but I think mainly it was giving birth

Hi missy! Just had my botox. I look pretty swollen down there. What did you do the first day??

Walk? Eat?

Sadbum you did it!!! Your story is so much like mine but my son was born 4.5 years ago not 19months ago. How was your second pregnancy an after?

I relaxed for a day or two just took it easy I ate oats for breakfast
Salad or salmon an salad sandwich or soup for lunch
And soup or salad for dinner with feta or salmon egg something to satisfy the hunger not just salad leaves an tomato

Keep your bms normal not toothpaste soft because for me that cause it to burn afterwards if you've seen the Bristol chart aim for a 3 so not to much laxative or fiber I'm taking 1 lax sachet after breakfast which people call miralax on here I also take 1 teaspoon a day of psyllium husk powder about 3pm so after lunch sometime in slowly building up fiber an reducing lax powder they do the same thing but psyllium husk powder is what is recommended by health professionals I've learnt lately. Keep up your water intake I drink about 1.5L a day just to give you an idea. I was swollen too did they remove anything?