Hi I’m new to this forum! So I’m a 19 YO female from Singapore and I first got my fissure last year around end Feb where I had passed a hard stool and that basically ruined my life forever sigh. I’ve been seeing my CRS regularly ever since and I’ve been prescribed rectogesic, lactulose and lidocaine gel to help me combat the pain and they’ve been working well throughout all this time. I’ve also undergone a lifestyle change where I have quit eating anything such as fried food that will harden my stool and I take lots of fruits and vegetables now. However my issue lies in how the fissure would heal and then return again and this cycle just keeps continue I honestly cannot live like this anymore it’s taken too much of a toll on my mental health It would heal for a few months and then return and it’s caused mostly by straining but the stool isn’t even hard. My CRS always says she sees the healing scar but yet it just keeps retearing over and over and she doesn’t want to do surgery at all because she says I’m still really young and honestly I too would not want to get surgery. Can anyone please help me and tell me methods that will best help me to heal and get rid of this once and for all I really want to live normally again and not have breakdowns over this daily it’s all I can think about and my life is truly ruined

I'm really sorry to hear of your trouble with AF. I think that in addition to seeing a CRS you should seek counselling - not that the trouble is "only in your head", it's obviously perfectly real, but you need to learn coping strategies. Is there a pain clinic at your local hospital? It might be a good idea to contact them and inquire. Again, I'm sorry you are suffering, and hope that you can find some local help.

Have you tried the sitz bath, especially the type of shallow bowl that fits over the toilet and you fill with warm water?