Saw the CRS 3 weeks ago expecting to get my sphincter cut and the doc said they are gone. At least for now. I have had them since early June, and have had awful painful spasms all day long.
The odd thing is that I still feel some pain from them because i have nerve damage in my spine and pelvic floor dysfunction :( which caused them to begin with. but at least they are gone.
My method was soft stool and zero straining bowel movement:
3 caps of miralax a day, stool softner, senna. whatever it takes. its not going to hurt your gi system.
nitropaste 4-5 times a day inserted with a q-tip. always before BM
warm bath after BM and then blow dry my butt.
always kept anal opening coated with Palmers cocoa butter at before bed and after my bath, and barrier cream when walking to prevent irritation, and before my BM to protect the fissures in case my stool was too loose. always cleaned off anus before applying the nitro to make sure it gets absorbed
5mg of valium after my BM. Helps control spasm and nervous system arousal.
just my 2 pesos