have had fissure problem first in 2005 then off and on for almost 5yrs with a frequency of maybe once year... since sept 2011 its been with a frequency of once every 6 wks or so.
what happens is that i pass a hard stool not v bulky..the pain comes and sumtimes there's bleeding...and the muscle spasm. i immediately know its the"return".
i take some cremaffin(liq paraffin)and apply nitroglycerine 0.2% .... and in a wk things are fine for me. iv survived this long like this.
since past 2 times ie 2nd episode since march i v had v bad spasm.... took diclofenac .. then only the pain went again to return with next bowel movement.
1) can i just go on like this ie conservatively?
2) how risky is surgery if i dont know about th e surgeon?
3) will just a dilation work or i need a spinterectomy done given its a chronic condition?