Yeah the medications aren't much fun. Well okay I'll admit that some of them have kind of nice euphoric side effects, but that's only fun when you can choose to take them, not when you *have* to :)
Yup I think my fissure is still active. It only bothers me once in a while though. For instance if I somehow get constipated and have a hard poop, or have diarrhea and poop a bunch of times in a row, I'll get some pain and blood. But in general I'm no longer terrified of pooping and barely know I have a fissure most of the time. Things are definitely more manageable than they were a few months ago -- knock on wood... I am still on a mostly veggie soup diet with daily Miralax, though, and don't plan to stop anytime soon. I think the Botox helped although it didn't fully cure things. I'm definitely not suffering enough right now to rush into LIS just yet. If things get severe again I'd probably opt to try another Botox shot before anything else.