Hi there I have had a chronic fissure now for 4 long months at one time the pain was so bad I almost blacked out it happened when I was constipated and forced a dry hard stool. I went through the normal bowel movement a morning and then at 10 Am during the day I had a massive anal spasm attack that I could swear almost killed me. This went on for 3 months with 3 different doctors prescribing wrong medication for me because they didn't have a clue how to treat an anal fissure, one doctor purposely gave me wrong medication because he wanted me to come back to him so he could milk as much money as he could from me.
Thankfully there is this thing called the internet, I researched for myself what I needed and the internet said GTN 0.2% which I went back and found a nice doctor who gave me a prescription it cost me $45 USD to have 30 grams compounded where I live in the caribbean. I don't have health insurance so I had to pay the full cost of $45 USD
It has worked amazingly however constant dry stool caused it to reopen every single week and tear, now I am on docusate sodium, I didn't want to take it because I feared it wasn't safe long term and I had already taken it for 2 months. But I decided to just buy a whole bottle and take it everyday and be done with it.
My cream is now finished and I need a new prescription the cream last me 5 weeks and I still have blood sometimes but the pain spasm has decreased by atleast 50% I can now sit without constant throbbing pain. I consider this a miracle compared to my previous state. My biggest regret was not taking 0.4% GTN but since I now know I have to use stool softner docusate maybe its good I took 0.2 before and now I can have them give me 0.4%?
HOWEVER I have read an article that claims Nifedipine has a 90% healing rate compared to 38% healing of GTN 0.2% and 56% healing of 0.4% GTN
So given this information is it not better for me to ask for Nifedipine 0.5% as opposed to GTN 0.4%?
Sitz baths were worthless for me I stopped using it as it actually made my condition worse.