I am a 20 year old female who is fit and healthy. I acquired my first fissure 2 years ago as a matter of being 'small' down there and having thin skin. Since, i have had 3 botox and fissurectomy treatments which have helped for no more than a month. I have reasonably soft stools, i take lactulose every day, I've tried GTN cream and proctoedyl ointment and have salt baths but nothing seems to help. i am currently using sudocream to see if this helps at all. As soon as one fissure starts to heal another begins to attack. i am not bleeding after very BM but every single one is agony. It's having a massive impact on my quality of life. i would have the LIS surgery but as i am too young and have not had children yet, this isn't an option for me. Please if anyone has any advice on how they cured themselves or what worked for you then let me know!
thanks in advance :)