First my story: I've had fissures for three years. Diltiazem gave me a rash which led to an abscess. After that I stuck with conservative treatment (diet, lots of water, stool softeners and hot baths) that haven't worked very well. Seems like I'm always on the verge of an outbreak, although doc says my fissures look more acute than chronic (surprising to me after 3 years of this). Was wary of trying other ointments but doc finally talked me into giving nitro a try.
So, I've been using it for about 3 weeks. Got the headaches, which were no big deal, and felt things loosening up slightly down there, which felt good. And within the first few days, for the first time in a very long time, I had painfree or nearly painfree bowel movements. Wow! I was very excited. Since then it's been up and down. Most of my movements are less painful than they used to be, but I've had a few that were painful. Seemingly out of the blue--it's not like I'm constipated or anything. The pain doesn't seem related to the size or shape of the stool. And today I had a movement with bright red blood on the toilet tissue, but no pain. Also seemingly out of the blue--I was really surprised to see the blood there, hadn't felt anything burst.
So, I'm just curious. Does the pain and bleeding that I have had lately mean that the nitro isn't going to work? Has anyone here had success with the nitro? If you did, did you have pain and/or bleeding along the way?
Thanks in advance for any advice you might be able to offer.