Starting a journal here, and hope that things get better over the next few months. Maybe will help others...
The basics here:
* Fissures since my 20s, now 42
* First really painful bout about 8 years ago, with a couple of smaller less painful re-tears over the years. I've always been able to heal via combination of nifedipine/sitz baths.
* Been on miralax for 8 years.
* New painful bout the last few months due to constipation. It healed, then I had exam and reopened, and now in a world of hurt (pains at 8-9 worse it's ever been).
So yesterday was really bad. My pain was through the roof, worse than it was 8 years ago, worse then any time I can remember. I spent half the day sleeping, and took off work. This was tough, as I usually power through the pain and at least work at home, but I couldn't handle it this time around. 4 Sitz baths yesterday, pain finally subsided enough by the afternoon (maybe 8 hours post BM).
Today, pain wasn't as bad on BM this morning, but post pain has been about a 7 to 8. Putting the Nifedpine cream on didn't really help (and it usually does). I jumped back in the bath an hour after my post BM bath. Pain was a little better, but still pretty gnarly. I am about 4.5 hours post BM and would say the pain is about down to 5, almost enough to sit and get work done (although I can't figure out if sitting or standing is better....