For the last month, I've been using diltiazem cream compounded with cocoa butter. Has anyone else used it compounded with cocoa butter?
In addition to my 3+ month and counting fissure, this past weekend I developed an inflamed hemorrhoid (and 2 more small ones that weren't inflamed). My fissure is at the 10 o'clock position along the right side, and the inflamed hemorrhoid is on one side of my fissure opening. I've stopped using the diltiazem for now , and I am sparingly applying Hydrocortisone Acetate 2.5% Pramoxine HCI 1% cream a few times a day.
Could the cocoa butter in the compound have triggered the hemorrhoids? I'm a little nervous about starting it up again in case that might be an issue. Also, is it better to keep that area dry or moist until it starts shrinking?