Hey BB,
No worries, we've all been there before

I'm positive nearly all of us have gone through the "c'mon there MUST be an easy way to fix this" thought train at some point haha. Unfortunately, as many of us have found out the hard way (and often after much trial-and-error before being convinced), while there may be a quick 'n easy fix in some lucky cases, more often than not, there isn't :( "Up and down" is probably the most accurate way to describe dealing with fissures...
I also FULLY agree with Dawn here:
Dawn wrote:I'm kind of surprised that your CRS won't give you one of the fissure ointments(nitro) since your fissure is considered chronic after 6 weeks. I've noticed that most folks on this board who healed with the ointments(which are few) seem to have started using them while there fissures were pretty new- in the acute phase.
After 2 months, it's honestly time to stop messing around and get some fissure-appropriate treatment in place. IMO you have the best chance at beating a fissure non-surgically in the first few months. The longer it's been there, the harder it is to resolve without surgery.
Personally, I'd either demand one of the ointments or see a CRS who will prescribe nitro, diltiazem, or nifedipine. None of these is a guaranteed fix, either, but will at least give you the best shot without surgery.
Also, my personal opinion is that an effective stool softener is just as important -- if not MORE important -- than the ointments when it comes to managing fissure pain and discomfort. So with that in mind: does "go natural" mean without ANYTHING, including stool softeners? Or does that just mean no ointments? The difference is subtle but can make a big difference when dealing with a fissure.