Yesterday, I had a setback, about as bad as it was around when I first posted here 18 days ago. It never really got good, but I've had a few days where my pain isn't too intense (my bottom basically always hurts, every waking moment).
I've been eating a pretty strict diet of vegetables, fruits, cereal, and occasionally fish. Taking a dose of miralax before bed each night, and some docusate sodium and a probiotic after dinner.
When I poop, it generally hasn't hurt--only afterwards, most notably after my bath. I rarely feel any spasms, and when I do, they don't hurt. It is difficult to walk fast or for more than a few minutes, as the pain starts to intensify. If I sit for more than around two minutes, it starts to hurt more and more.
Anyway, I somehow became constipated until yesterday... went around 52 hours without pooping, despite the miralax, docusate sodium, probiotics, and strict diet. Don't think stress was a factor.
My poop was kind of a pasty consistency. It passed fairly easily and wasn't thick, but was dense. This part's gross... it stuck to the hairs around my anus because of how pasty it was, was very difficult to wipe as I didn't want to cause any damage to the area. Still didn't hurt when I pooped it out, and took my normal bath afterwards. About two hours later, my pain just got worse and worse. Still no spasms or anything, just this general pain down there, almost feels like it's inside or something. Basically, my whole butt just feels like it hurts. Felt somewhat better after I slept at night and woke up today, but still some pain.
When I pooped today, it again had that same pasty consistency, difficult to wipe, and so forth. Didn't hurt much coming out, but the pain just got worse and worse in my bottom area over the next few hours, and now here I am.
I'm wondering, does this sound like fissure pain? I've been wondering lately (and afraid) that it might be some other, somewhat similar condition? My GP and general surgeon both said they think it's an anal fissure, but neither gave very good advice on how to treat it. I haven't bled from my bottom since maybe 6 months ago, and even then it was just a tiny bit and one time... but nonetheless, I'm in constant pain every day, even when it doesn't hurt to poop.
The doctors also didn't have a good answer for what this round lump is right at the entrance to my anus. The lump is soft and feels smooth, and I don't seem to secrete anything from it lately, although a few months ago, it may have been secreting something (I thought it was anal leakage, though). It never goes away (been at least six months now), doesn't hurt when I touch it, and occasionally seems smaller some days. Is this a hemorrhoid, or something else?
Overall, just wondering if anyone has any idea if this sounds like fissure pain or something else. I have blown through way too much money on doctors over the last half year, and can't really afford to see a CRS (though I'd like to, if I can afford it somehow). It's extremely frustrating and depressing that I can't even sit for more than a few minutes without a lot of pain, as it's seriously affecting what I can do with my life. The pain just never completely goes away, and I feel hopeless, like it's never going to be better enough to sit for even an hour :(