I'm a 45-year-old woman living in central Maryland. I've had IBS for 20-ish years, hemorrhoids for 15, and suspect that I have an anal fissure. It's excruciating but, you guessed it, nobody can see it! They take a look and say "Yep, those are some hemorrhoids and skin tags." Sitting in the car is the worst, but as of yesterday, standing up from a chair is nearly impossible. Of course sitting and lying down are both awful. Sitz baths w/epsom salts (in actual tub) felt like they were helping at first, but now don't. Nitrogylcerine ointment? Don't make me laugh. Lidocaine ointment? Hurts half the time. Ibuprofen and Tylenol make a dent, but the pain at this point is endless, and I can't get in for an internal exam under anesthesia until May 29. I'm going crazy and can't think straight. I also have two young kids who don't understand why Mommy is screaming in pain.