by Savaici » 09 Nov 2011, 19:35
Protoctosol is a hydro-cortisone cream, usually prescribed for hemorrhoids. I was prescribed Analpram, and I'd say they are roughly the same thing. They can thin the skin, which is not what you want with a fissure. I used mine afew times and it did not really help. GPs do not seem to know much about fissures, so suggest you see a CRS instead.
In the meantime, use a SitzBath after each BM, to get the blood going to the fissure and help in healing. And read. As much as you can on here. There really is a vast amount of useful information here from people who have gone through just about everything connected with a fissure.
If you are in the States, I would just make an appointment with a CRS, if you can do that. Just as TonyStone said, you must be an advocate for your own health. Two years means the fissure is chronic and not as easy to heal. I am in that boat too and am off to see a CRS this month.