I am in the final stage of healing of two fissures, meaning no more serious pain and now dealing with the after effects of the two fissures I experienced. I am ready to begin playing tennis again. Incredible pain the first 6 weeks from one chronic fissure. I tried the following creams and ointments: 2.5% Hydrocortisone cream, 1% hydrocortisone cream, Hemorrhoidal witch hazel gel, 1% hydrocortisone ointment, baby oil from walmart, aloe vera cream from Walgreens.
My Conclusion: after two weeks, the 2.5% hydrocortisone caused burning, and then skin problems, and some dizziness, and no more improvement. 1% hydrocortizone cream, stopped it because of the side effects, and little ability to stop pain. baby oil, too greasy, aloe vera cream, little effect. 1% hydrocortizone ointment, too greasy.
witch hazel gel with phenylephrine hcl from Walgreens. This is all I use today. It is nongreasy, fairly good at relieving pain, and seems to work for me. With baths, diet, walking, and this gel, I am experiencing no more severe pain, only very minor irritation after BM, which does not last. But I still have a sentinel hemo. left over from the two fissures.
Keep in mind, I did not have to deal with bleeding fissures. Bleeding fissures probably require surgery. One last item. My Dr. did not prescribe nitroglycerin because of side effects.