Thank you everyone. I can't stress enough how grateful I am for all of you. I will keep you all posted, thank you so much for being so sympathetic toward some random dude who just whines all the time.
I tried keeping the Miralax the same (full dose per day) and for some reason it gave me abdominal cramps and diarrhea today. Have had to go poop 6 times already, and I can feel it's not over yet, it's just a little bit of watery stool every time. Weird. I'm not sure where the heck my balance between hard/soft stool lies, I just wish it would all exit in one or two BMs at once as opposed to over a whole bunch of small but super urgent ones that torment me dall thru the day
I think I am going with whatever the surgeon can do first. If it's botox then I'll try that. If it's quicker to get LIS then I'm doing that. I don't care anymore, each day is becoming more and more hellish, I'm completely housebound at this point.
The questions I have so far to ask the surgeon are:
* Can botox be ordered on short order (like next week)?
* Can LIS be ordered on short order as well?
* Should I get a colonoscopy to check for Crohn's or ulcerative colitis first, or should I wait until the fissure is somehow contained?
* If I do have Crohn's or ulcerative colitis, does that change how we go about treating my fissure?
Once I know the answers, I think my path forward will be clear. Basically, if I'm told that LIS is my best bet, regardless of whether I have some other bowel disease, then I'm almost certainly going to opt for LIS. Enough is enough. I'm on a diet of only boiled cabbage and broccoli everyday now and am strung out on valium and percocet all day, with the occasional nitro headache, so I can barely tell you what day or time it is.
Sometimes physicians are so hard to deal with. In the ER, the doctor knew exactly the kind of severe pain that fissures can cause (guess I got lucky), was very sympathetic, and immediately explained that he should put me under to check for absesses, ulcers, and anything more sinister that could explain the pain. No absesses found, but he did find those ulcers. No other physician I've seen even considered doing a more thorough investigation, it was always ""eat more fiber and drink lots of water"!!! When I'd asked for painkillers before, all they did was tell me to take some ibuprofen or tylenol, which I'll tell you right now, didn't even begin to touch the pain! I don't know if the ER doc I got actually personally suffered a fissure before or what, but he sure seemed to know a lot about them (including the fact that my fissure was 5 degrees off the typical location which warrants screeing for bowel disease) and was the only one willing to send me home with "fissure strength" painkiller; it doesn't fully cover up the pain, but it sure does worlds more than stupid OTC stuff every did!