Hello everyone, welcome to my fissure diary!
I have had a fissure (or a recurring fissure) for >3 years, since my son was born. However, I probably had it many years before, I had very large stools and they were Type 1 & 2 on the Bristol scale.
Doctors never asked me about stool consistency and I gradually made it up the surgery list for LIS. Life was depressing and painful.
About 1 year ago, I managed to get it under control with PEG + nectarines. It was the miracle combination!! This made my stool very very soft and I was able to heal! I ate many things I like to eat. Stool was type 4 or so. I took my name off the LIS wait-list.
Now, however, my body is used to the soft stool. And now anything bigger than a cm or so wide can irritate that area. Today, it was extremely soft and thin. But it bled. Right now I am okay, but 2-3 hours from the time of the bowel movement I will be in pain from the muscle spasms.
Once I am healed for at least a few weeks again (I keep waiting for that to happen ...) I am planning to slowly either (1) do self-dilation with pediatric dilators, or (2) slowly reintroduce metacucil to slowly enlarge my stool again and slowly force my body to get used to larger sizes. Or reduce the PEG (I take 10 g per day total)
Your good wishes and ideas are very welcome!