It started about a couple of months ago, I am a guy who love chillipeppers... I mean LOOOOVES them... It comes in hot and comes out the same way too but I was so accustomed to it that I dont even mind anymore... one time, I just realized that I was PUSHING overly hard to pass a stool... It comes out but then I feel like im about to pass out too when it does... this went on for like several days until one day I noticed Blood in my stool...I didn't mind at first but the blood drops continued for several more days until finally one day I felt a lingering HOT sensation in my anal area, it continued to progress to a more painful state the following days... it's peak came in when I PUSHED extra hard again to pass a stool... and so my AGONY starts... every poop I take feels like im gonna die... and the pain lingers the whole day, It hurts when I Sneeze, it hurts when I walk, run, jump, sit, stand for christs sake it even hurts when im lying in my bed trying to get a sleep... Now I live in a place where there is no "NIFEDIPINE" ointment nor "NITRO" ointments (Believe me I searched EVERYWHERE) so what I did was to buy Nifedipine capsules (gel) and I just tear open the capsules and apply the same to my anus. I must have followed every bit of advice in this forum and elsewhere, (everytime I poop and it hurts I hit the internet and do a quick search about "anal fissures") nothing worked... I seriously considered having an operation done but I said I'll give this one more month...(that's after breaking my right hand punching my brick wall because of the pain) Here's what I did... I bought amoxicillin capsules 500mg, Ibuprofen gel caps 250mg, and Mefenamic acid 500 mg...Psyllium fiber... I bought the generic brands....
here's what I did, Early in the morning I eat my breakfast of oatmeal, I take amoxicilin capsules 3 times a day, while the Ibuprofen and mefenamic acid Combo, I take them after i poop and I know that it's gonna hurt like hell... so that's at least once a day, don't take more than 3 times per day (that's for the combo mefenamic acid and ibuprofen)
I continued this routine for a week and the pain was becoming less and less... It's very important not to PUSH when you poop...I never had a sitz bath but realized that soaking in water helps a lot when we went swimming in the beach, I soaked my painful butt in the water for a good number of hours and somehow the pain got lesser and lesser... it's also important to keep the area clean and dry, don't use toilet paper for a while, use Bidet or just gently wash with water... to avoid irritation I used my special combo of Vit E oil, Betadine, coconut oil... I put it in a small syringe, I remove the needle of course and inject the same inside about 2 cms deep.
now im pain free and I want to thank this forum for helping me and other people who are in pain... If you have tried everything and it doesn't seem to help, try the routine that I did.