Best of luck Pops with all of that you will try and plan to do to get rid of that idiotic fissure !!! I had no idea that doctors are now forcing treatments on patients in the UK - that is just criminal WHAT THE HECK ????? How that can be legal or ethical in any shape or form ????? God help us all with where medicine is heading in this world !Can you go to private CRS ?
Just continue all that you are doing to make yourself as comfortable as you can. There are other stool softeners that you might try - maybe our UK members can give names of the products. There are many out there and although it asks for trail and error and unfortunately some painful experiences on the way it is worth exploring. Just recently one of the members discovered all natural fruit based supplement that made her poop very soft - try to sift through latest posts - I hate my memory lately LOL, or better said "non-memory" - can not retain anything due to stress - but I am sure somebody will chime in soon :D !!!
Best of luck again and I hope Botox will solve your problem completely