Small setback...
Im on day 10 on nitro, and after two good days, with 'only' about 4 hours of spasms, I had them about 7-8 hours today :-(
Dont really know why, but Im still hoping nitro will solve this.
I apply as much internally as possible. The rest I smear around just outside.

You have days like that. Here is a really old web link with someone's account of Nitro (scroll down to diary). It really helped to calm me down.
http://www.boardsailor.com/jack/af/patient_25.htm

Yeah, is it unusual to have days like that, at this point?
Thanks for the link, nice to see what progress one can expect on nitro :-)

No, perfectly normal. I had an 8 hour episode 2 weeks in which reduced me to tears. Next day was way better.
One thing I've found is after a bad day things for some strange reason seem to get a stage better. It's almost like my ass doesn't want it it heal so kicks up a fuss!!

Cant wait until tomorrow then :-)
At least its going in the right direction.

I had a "bad" day today and this was 4 weeks + 1 day! Around 4-5 hours irritation. Was getting quite painful before I used the Nitro. Hopefully wont happen again for a while now :)

Are you having a better day today JHH?

Actually, yes. Went a whole hour without spasms after BM. Then I sneezed and caused it to cramp up down there, and that caused me 1/2 hour with spasms.
Right now, I feel no pain, just discompfort.

That's great... are you male? I know its a strange question but there's not so many guys on here.
I am feeling a stage better again today. I had completely painless BM with no after burn. I did feel a slight pressure build up around 2-2.5 hours after my BM so applied GTN and am completely normal now.
Now into week 5... wow, one hell of a difference. I am staying on Nitro for the full 8 weeks and you know what, I actually think it's going to work for me.
Its hard when a bad day comes but focus on how many good days you've had and remember there is often a vast improvement following a slight downturn. I have no idea why but for me this seems to be the pattern.
(I've said that and yesterday I went off on one saying I was having LIS etc, lol, I do this every time as I CANNOT handle the spasms).

Yup, Im male.
Im happy you are doing so great. Gives me hope too :-)
I have hardly had any pain today btw. Definitely improvement!