Had this stupid fissure since September, healed and then re-tore in December. I've been on compounded nitro/Vaseline since Jan. 18th twice daily, using Vaseline before any bms, taking 2 sitz baths a day, fiber and loads of water. I also have IBS. The last time I had pain was on Feb. 1st. The nitro has been wonderful for my healing. I saw my CRS on Feb. 26th and he said the fissure was 90% healed and to use the nitro for one more month. The last few days I've had some irritation in my anal area. Not itching just irritation and only when sitting. Everything looks normal there and I am not having any other fissure pain. No spasms, comfortable bms etc. Could the nitro be causing the irritation? I hope not because it's the only thing that has helped and I dread not using it. Sometimes I wonder if constantly putting all this stuff on my butt is just causing more problems!
What do you think? Should I start to wean off the nitro? CRS said my next option if it returns is Botox. Honestly, any of these surgeries scares me to death!