Hello all, new here. I'm 31 years old and have been dealing with pelvic floor spasms and pain for a year now, and hence all of the straining has led to 2 small fissures. My GI confirmed today at my appointment. I have had the stinging pain for a couple of weeks but yesterday the sphincter spasms started. OMG! so painful I want to run to the ER. Luckily I had some nitro 0.2% on hand that was prescribed for the pelvic floor spasms. I tried a half of a pee size dab into the anoderm twice last night. no relief. This morning before my bowel movement I tried it again twice. Nothing. No headache no big change in blood pressure as I checked it before and after I applied the nitro. No pain relief. So I told all of this to my GI docs (a fellow and also her attending) and was told that Nitro will not relieve "the pain" from the spasm. I told him I didnt even feel like the clenching of the sphincter loosned really. He said to use it twice a day to promote healing. But, how will it heal if my sphincter is still spasming?Anyway, this seems to contradict what I have read here and elswhere, that it should bring immediate relief of the pain from the spasm. I'm confused. Is he wrong or does nitro not work for certain folks? Hopefully I can get to a CRS soon and try botox because the pain is wretched. Id rather be incontinent if thats what it takes to heal
Thanks, Jason

Hey Jason,
I didn't use nitro but used the diltiazem. My experience was not instant relief. It took a week, maybe more for a noticeable difference and to get some relief. I don't believe the nitro usually has an instant effect either.
The ointments are suppose to help the resting pressure and promote blood flow to the best of my knowledge. They can help relax the sphincter and calm the spasms along with baths , etc, but they don't always work for everyone. It does take some time though before you will see results.
There's some info on the ointments under the references, websites threads that may help.

ps...
Jason, stopping the spasms is the only way to heal a fissure- for-sure:)
Some heal with the ointments but they don't always work. Many of us found some relief but went on to have LIS. Hopefully you will at the least get some relief. I'm sorry to hear you are in so much pain and I was there where you are before my LIS. I thought incontinence couldn't have been as bad as the pain I was in.
Hang in there!