Hello @angelak43

I just read your post about the nasal and rectal fissures you are experiencing. This does sound very frustrating and I can certainly understand your desire to avoid surgery. That is generally the last resort for most of us.

I'm wondering if you have considered visiting a multi-disciplinary health care facility? I'm thinking of perhaps a university medical school or one of the three Mayo Clinic facilities. Because these types of medical institutions are research-oriented they are often very good at putting the pieces of a complicated health problem together and giving a diagnosis.

If this were me, I would definitely get a second opinion at one of these facilities. If you live near a Mayo Clinic (Minnesota, Florida, or Arizona) here is the website where you can request an appointment,https://www.mayoclinic.org/appointments

I do hope that you find help for this problem. Will you post again with an update on how you are doing?