by Scientist2516 » 19 Apr 2015, 22:54
Update: so, in September I was still having set backs and getting generally frustrated at how the wound wasn't healing. And as some of you know, I now think I'm completely healed. I hesitated for a long time whether I believed I was fully healed, but I'm pretty confident now, and have been for a few weeks.
And because I wasn't sure I was healed, I didn't mention the medication I tried. But here it is. If it helps anyone else, I'll be really really happy. I asked my OB Gyn for a topical estrogen cream, and he prescribed Estrace. I used it all of November, December and January. I would apply nitro twice a day and the Estrace once a day. For a long while, my anus was still sore to the touch, even though I wasn't having spasms or pain with BMs (except in a set back). However, after a while I noticed the soreness was gone. It has not come back, even though I haven't used either Estrace or nitro for a couple of months.
The reasons I asked my OB Gyn for topical estrogen is because I googled "non healing wounds" and in reading around, found that estrogen supplements are very beneficial to wound healing in older men and post menopausal women. Even though I haven't had menopause yet, and am still on birth control, I thought estrogen might help my fissure. It seemed a long shot but worth trying. I knew my GP wouldn't give me topical estrogen because she disapproves of hormone replacement therapy, but I thought my OB most likely would. Also, I know that estrogen supplements are regarded as risky, and related to certain cancers. But estrogens used at one time to be added to skin moisturizing creams, and I remember a women once told me how wonderful they were (until they were banned).
Of course I still don't know whether the Estrace helped, or if it was the final push with nitro, or if I was just ready to heal, or if I got a handle on how to manage stress and bottom-clenching. But for those with stubborn wounds that just won't heal, and tear and retear, and people with thin weak skin, it could be worth asking your doctor for estrogen supplement.
Nifedipine/lidocaine, no help
Diltiazem, effective, but caused major rash
Nitroglycerine, effective.
Topical estrogen for final healing.
Gentle heat to bottom - pain relief, muscle relaxant
Kondremul mineral oil
Time - lots of time.
Status - Healed!