The only CRS who saw the fissure was the first one I saw, about 8 weeks into this. He used a scope (which actually wasn't too bad) and said it was "mostly healed." All other docs just did visual or digital exams, couldn't see anything. The last doc I went to (Kristina Hobson, in Los Gatos CA) was by FAR the best, so kind and made me feel so comfortable. She said my fissure had healed a long time ago, I had residual muscle pain and could do exercises or try a low dose of antidepressants for the pain. I never filled the RX after that -- and was largely symptom free until....last week.
I'm normally diligent with Metamucil and take 1/4-1/2 a dose of Miralax a day, but have had to change my routine recently because Metamucil has been causing another health problem (interstitial cystitis) to flare up. That, plus a big trip where I wasn't able to follow my normal morning routine, and I've definitely given myself another fissure. My pelvis floor is big mad at me right now

I have another appointment with Doctor Hobson in early December (she's very busy) and have a new rx for Rectiv I've started in the meantime. Of course I'm eating right, taking Miralax, found a psyillium husk product I can tolerate, sitz baths etc. But pretty miserable, and not eager to lose another 2.5 years of my life to this.
Has anyone whose pain is mainly caused by sitting (especially hard chairs) had immediate/quick relief from LIS? There are some older threads in the forum on this that didn't seem very hopeful. I'm not excited for surgery if it doesn't actually look like it'll resolve my main issue (and scared it'll make pain with a BM worse, mine is currently very minor -- but honestly most days would trade 10/10 pain for a few minutes for 5/10 pain for hours).
Thank you to everyone who posts here; this board made me feel so much less alone last time, even though I never posted myself!