hello everybody
i had a question for some of the people here. i found this board very helpful and thought it will be useful to get your perspective
background:
last year feb 2010 i was constipated and got major anal fissure (broken glass during BM etc). as always the urgent care doctor thought it hemorrhoids and just gave me hydrocortisone. but i immediately changed my diet , took metamucil , colace etc and the pain stopped in week. in may i went to CR because I had some skin tags which i though was external hemorrhoids and he said that i actually had AF and it was fully healed and i was good to go. it was true and my life became normal. i still took colace and tried to eat healthy but pretty much back to regular stuff. get crazy drunk , eat pizza and never had any trouble
fast forward to this year and I had to go to Asia to visit my family in January. I got constipated during the trip (street food etc etc) and right before I left I had pain (very light may 2/10) during BM. I immediately knew it was fissure and also it happened 2 days before I left so once I got back to US i went on the healthy diet , metamucil etc. The pain went away in 3 or 4 days though i would have random discomfort (small spams which were not painful etc) couple of times during the day for 10-15 sec. I have no other symptoms - no pain or burning during BM , no blood . my stolls are very soft etc
So I went to the CR surgeon I saw last year today just to make sure everything was OK and he says my fissure is not healed and is actually turning chronic. I was devastated and very upset. Anyway he prescribed dilatiazem and wants me to try it for 6 weeks along with sitz bath. He thinks I have a 50% chance of healing it without surgery
So my questions are
1) will this actually work ? Can chronic fissures be healed without surgery at all ?
2) Has anybody had this kind of fissure which is painless and pretty much asymptomatic ?
I am very confused and depressed over this.
Thanks for reading this and sorry for the long post.