What the cream does is just loosen up the entire anal canal below the sphincter. Tightness is a primary problem in getting the fissure to heal, so a relaxed anal canal aids that, and it also help pass the stools easier without so much trauma.

That is why this is such a day to day process! If you GO everyday its like starting over and over! Understandably why you need to be so persistent!

You need your stools soft and fluffy since you do have to go every day. Keep using the cream, Tom. It may not heal you but it is a big help.

I am siiting here in my office and right now virtually pain free for the first time in months! Someone had mentioned to me sitz baths and I was trying to do them regularly but my profession does not allow for that so I do one in the AM and a nice hot bath at night

Great news Tom !!! Just don't make classic newbie mistake - stopping with the regiment too soon. Remember that even after healing, your fissure site needs about a YEAR to regain it's full pre fissure strength !!!
No fooling around with diet and cream - one mistake is enough to make you start all over !!!
Best of luck !!!

Yes I know Not out of the woods yet! I have tried several different diets and may actually have found one. I was at a political function last night and the spread (food) looked sooooo good but I was afraid to touch anything. The only think that I did eat was the cantlope, watermelon, and honey dew. Guess that couldnt hurt!

No, all fresh fruit is beneficial : ) ! I never had problems with any of them . Just be careful with fruits with seeds - make sure you take all seeds from tangerines for example.