Hi,
I'm 37 and I've been suffering on and off since I was a teen. Up until I had kids and moved overseas in 2007, the pain was on and off and tolerable. I saw a nurse prac at a GI office today. He took a look and couldn't get very far due to the pain, but said the fissure is huge and one of the worst he's seen. He recommended surgery and hemm surgery as well. Problem is, I had LIS done while we were living overseas in Spain. It didn't work and I've been much worse since...that was in 2010. I had a bad infection following surgery and immense pain for 3mths following. It was horrible. The incision site never healed completely, the fissure grew in size and depth, and I now have a tighter mucscle. I am now trying nipedine oitment but so far no luck (been about 2 weeks). I now have a new critter down there - an external hemm lump. If anyone can advise me on a second surgery please help!! I have 3 lovely kids to take care of and right now I can barely sit. My life revolves around poops and baths. It's very depressing!! Please help if you can.