In case somebody is interested in my routine. Here is what I wrote:
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This is what I have been doing for the past 2 months. It is basically a lifestyle change for me.
1.
Cut out all Caffeine and Spicy Food. I used to drink A LOT of coffee and soda drinks. I hated drinking just water but after several days of just water, I am finally used to it. I am drinking some green tea now but that's as much caffeine as I want to take.
I love Spicy Food but it can really irritates your BM and what's worse is when you have bad stomach. "water" stool is bad.. it can cause spasm. Your goal is to not have bad stool when you try to recover. This means you need to stick with food that you know your body can digest well. I ate Chinese Chicken Broccoli with Rice and "white sauce" and "low salt" for 2 weeks!! Find something healthy and balanced and just don't get bad stomach. One food poisoning.. oh boy. You'll hurt your fissure really bad.
2.
Drink a lot of water. Again, caffeine dehydrate your body which I did not know. I thought I had internal hemorrhoid and caffeine is a "blood vessel" dilator which can lead to bulging blood vein which is what hemorrhoid is. So, by cutting off caffeine, you reduce the chance of getting hemorrhoid and dehydrating yourself too much.
3. When my fissure was "bad" (meaning bloody BM and severe pain), I bought Sitz Bath seat from CVS drugstore. It's cheap. Use a bit warmer water (not burning hot!!) and I use it the first time when I wake up and before I sleep. Twice a day for 12mins. I didn't even use salt, just plain water. I no longer bleed so I am cutting back Sitz Bath to just regular soaking in the tub as I feel the seat was pulling my butt cheeks apart too much which causes my skin tag to get stretched. I am still testing this theory.
4.
Fiber drinks twice a day. I just drink the regular Metamucil. I like the orange taste and it's easy for me. This makes my BM softer but not too soft.
5.
Before you BM, make sure you use Vaseline or water-based lube. I like water-based lube because it's easy to wash off. I don't like that "slick" feeling down there. It irritates IMO. After BM, I basically just stick my whole butt in the tub to rinse or if I am at work, I'll use baby wipes or if I have no baby wipes, I'll use very wet tissue. Never wipe it "dry".
One trick. When you push your stool out, deep breath IN..you'll feel your stomach pushing downward.. use that movement to push your poop out. It will put less strain on your ass.

I also learn how to deep breath properly for past 2 months! lol Before deep breath in, you need to exhale to the point that you have little air left..and then you take a deep breath in. You will feel your sphincter expands.
6. I take two Fish Oil in the morning with Fiber drinks. Not sure if it helps but fish oil also helps with cholesterol.
7.
I bought Nitro ointment from United Pharmacy called Rectogesic Ointment 0.2%. It's shipped from United Kingdom. A bit pricey. I used to use it twice a day. Once right after I shower before work and once before bed. I notice that I do not like that "vaseline" feeling in my ass during the day when I walk around so I only use it before bed. And also, you may get some headache.. it took me about a week to get rid of it. Nothing major for me.
8. The other thing i use is
Palmer's Fast Absorbing Cocoa Butter oil:
http://www.drugstore.com/palmers-cocoa-butter-formula-moisturizing-body-oil-with-vitamin-e/qxp27753?catid=182918I bought this originally for my stretch mark on the leg. And then I got curious and just rub it outside of my anus... and for some reasons, I feel better. I have no proof for this but I am no longer bleeding and I only have skin tag issue. This lotion is used to promote skin healing and stretch mark so I figure maybe I can get that skin tag to shrink or disappear! I've been using this lotion for 2 months now. I put it on once before work (I skipped Nitro Ointment in the morning now), once at 6pm and once when I get home. I just rub it some in your anus area.
9. Things you should
avoid are Squat Exercise (you can Squat to poop if you want) and using Soap on your anus (just use water and pad try or air dry). I am working out now but I feel when I do squat, my ass cheek is pulled apartment too far. I try not to irritate my skin tag. Try to walk around during the day but not like fast running. Don't sit in one position for too long. Sweat also irritates my skin tag which I found out recently. So when I exercise, I do it nude. LOL I don't like sweat and underwear rubbing against fissure.
10. Lastly, you should definitely
Dilate/stretch your asshole. I am a gay bottom so putting stuff in my butt is nothing new. If you have not done it before, I suggest you put fingers in first...get used to that feeling. Dilation is very important because some people like us are born with very tight sphincter. By dilating (stretching your asshole basically!), you improve sphincter's muscle. Sphincter is a type of muscle. If your back is sore, what do you do? You do stretches! It's the same idea for your ass. I totally believe in dilation. I do it ONCE every other day for 12mins. I bought an anal dilator kit from amazon.com. It has 5 sizes but for people like you, you just need two sizes. My goal is to stretch further and for just BM, you really don't need larger than 4" round. Just search Anal Dilator kit on amazon. It's black color.
And also, the water-based lube I use is
http://www.amazon.com/Nasstoys-Frixion-Lube-2-oz/dp/B001BNTA9C Frixion lube. It has Aloe Vera in it and it is a "thick" lube and very very easy to wash off. This is probably the best water-lube I've used so far and I will continue using it.
One more thing: This is a trick for bottoms. The easiest way to take something up your ass is by laying on your back with legs up in the air or in STANDING position..lean your butt outward, leg apart for about 3 feet and DON'T bend your knees much. This is the easiest position to INSERT something into your butt-hole without your butt cheek squeezing. You need to relax. How? When you exhale, your sphincter is a lot more relaxed. So,
in-hale to expand your sphincter to poop and exhale to insert something in! Doggie-style is actually one of the worst position. I just found it out recently! So, to dilate, I basically stand in front of a wall.. lube your dildo/finger with A LOT of lube and once it's in, I lean forward with two hands on the wall and just try to deep breathe. You will feel your sphincter expand... yup, get that feeling. Try to expand your sphincter without inserting dildo in and out because in and out produces "friction". You don't want friction to rub against your wound. Enjoy. :D
I believe Anal Dilation is probably the 2nd most important thing behind "Soft Stool". To prevent future re-tear or occurrence of fissure, our sphincter muscle needs to be strong.. needs to prevent spasms. I treat it as Working Out. As we age, our muscle gets weaker. I am only 33 years old but I will continue working out all parts of my "muscle" including sphincter.
I follow this routine and will continue to do so.