My update
been using nitro cream for 7 weeks now. Result no visible external fissure, no bleeding on BMs, getting my confidence back on going whenever I want to - not just within half hour of waking up.
Downside - still getting really bad anal spasm - totally not related to BM - just lasting all day (if I sit down).
Got v depressed - if fissure is healed why so much pain ?. (Well actually discomfort - nothing like fissure pain)
Have been back to GP & he's done a rectal exam - nothing wierd inside (no lumps & bumps etc) but significant scar tissue just inside anal margin, which he thinks is causing all the spasms.
He's prescribed Xyloproct (lidocaine 50mg & hydrocotisone acetate 2.75mg).
Anyone else got any ideas ?
Thanks