The real problem is the internal anal sphincter.

The real solution is pelvic floor physical therapy (PFPT).

https://www.youtube.com/watch?v=WKWPHV8RBKw

Topic for discussion.

Is there some kind of cultural difference here? Are the adherents of LIS more conservative in outlook, more likely to support traditional solutions to medical problems, more likely to vote Republican? Are the adherents of PFPT more 'woke' in outlook, more likely to vote Democrat, seek unconventional, fringe solutions? Just wondering.

It seems like a bit of a stretch to link a surgery choice with voting choice. I think in general that people who want quick solutions will opt for surgery, while those who are afraid of surgery and like alternative options will explore therapy.

I don't see a connection either. In Canada, even though most people thought of right-wingers as the anti-vax crowd, it turned out that 43 year old women who voted Liberal, were those most opposed to mandatory vaccines.

Thanks, patience_and_healing and chachacha, it is reassuring to get an objective North American view of the topic. Over here in the U.K. it's sometimes hard to understand life on the other side of the Atlantic, especially with Ramaswamy/Trump, De Santis, etc.

Cutting the internal anal sphincter muscle (LIS) and learning to control the internal anal sphincter (PFPT) are both effective techniques for dealing with AF.

Here I want to link again to the YouTube channel of Dr. Albert Chung- it seems like the most comprehensive and useful collection of information about anal fissure and pelvic floor dysfunction that I've seen.

Here's a view from someone in the US - me. I tried many therapies/treatments for 6 years until I went with the LIS. I am an independent that leans left. I can understand your logic saying someone who thinks progressively with science and medicine would go one way with trying alternative and cutting edge medical solutions versus someone who is rooted into whatever has worked is what they trust. But an LIS is still progressive. I think automatically jumping into the LIS or surgery is more of a weekness for dealing with pain or even an entitlement (fix it NOW!) than a political slant. Some people simply can't wait for treating it - they want the easy solution immediately.

I have said it for years on here - to me stress and anxiety is the number one issue for preventing the fissure from healing. Stress causes tension and tension prevents the blood flow from healing the fissure. And don't forget that both sides are woke. Who do you think banned The Beatles when John Lennon said they were bigger than Jesus in 1966 - far right wing conservatives. Who refused to let blacks integrate with whites in the South? Far right wing conservatives (yes back then they were Democrats - IRRELEVANT - conservative is conservative. If they say Lincoln was a Republican they are full of **** - then they are a lying far right conservative). And don't get me started on the far left!

Anyway, I don't think your question was that strange to ask dmcff.

I'd like to continue taking part in the discussion, but have come down with a bad attack of diarrhea. It's unusual for me, and it seems to be making my pelvic floor symptoms worse. I'll try to return when this clears up - it's been bothering me for a couple of days now.

Hope that you feel better soon.