How long can you continue to take the muscle-relaxing/blood flow-increasing creams (Diltiazem, Nefidipine, Nitro) for a chronic fissure? Is it dangerous to keep taking them? I’ve been on Diltiazem since last January… more than a year. I know, I shouldn't be on it that long. I’m too afraid to stop taking it. The last time I tried, I had pain again. When I take it twice a day, it relaxes the muscle enough so that I feel fine. My flare-ups have gradually decreased since last January and my pain level is 1 or 2 most days. I seem to mainly get flare-ups (more pain) during periods of high stress, as I get really tight down there. : (
I have an appointment with my CRS next week to discuss this. I’m afraid he won’t prescribe me any more cream and suggest surgery. I’ve only been on Diltiazem, nothing else. I still don’t have health insurance and I absolutely DREAD surgery of any kind, especially butt surgery! I seem to be fine as long as I use the cream. I'm also dreading getting any kind of scope exam, so I'm hoping he just looks at the outside area (my fissure is more internal, though). I do not want to risk a re-tear.
Thanks for your help. It's been a while since I've posted here and I'd appreciate any advice you guys have.