Anal fissure: What helps it heal?

Thanks for recommending a colorectal dr - but all I found were "colorectal surgeons." The thing is that I'm doing everything I can to avoid surgery including botox. With my history I think iI should avoid anything like that. I'll try calling to find out what they have to offer that isn't invasive. Maybe I'll be pleasantly surprised?
(not on chemo)

Yes I had two one inch rectal fissures but not from chemo mine was from chronic constipation. Mine happened a long time ago but they flare up often as a matter of fact I’m in a flare now. I use Anucort HC supporters. I think mine are 25 mg. Also there is a rectal ointment put out by a proctologist here in OK it has to be compounded. The doctors name is Neil Woodward.

Yes! I would say almost 2 years before the nifedipine. I hated going to the toilet. It did get better though as the months progressed especially after I got the nifedipine. If I had been given it a lot earlier by Stanford I would not have had to endure this pain. I hardly use the nifedipine now but I had my radiation in. 2017 and I take the stool softeners every day.
I always keep an up to date prescription just in case. I sometimes wish these doctors could have this pain just once and maybe they could understand how we feel? There is light at the end of the tunnel though just make sure you don’t get constipated.

Have you seen a colorectal doctor? They may have more expertise for fissures than a GI doctor. I had horrible pain with every bowl movement as well, I got a botox shot and that helped. Also the sitz baths and if you are on chemo, get off Avastain. That is what ultimately solved it for me.

I agree, it's ridiculous!
It sounds like you had your fissure for over a year, am I understanding that correctly? Did you have success using the nefedipine? Or are you still treating it?

Yea bm's are always traumatizing!

Only 50% of people can heal fissures on their own; the rest need surgery. Use a sitz bath with hot water as much as you can.

Thanks so much for so much info! It's amazing, isn't it, the twists and turns that can happen with a medical problem?

The second surgery was a nightmare. The doctor hit my pudendal nerve and I had pain for 14-1/2 years. After the 2 surgeries, I had another procedure to stretch the scar tissue. Surgeries worked, except for the nerve damage. I sat on a donut for 14-1/2 years before I took the anti-seizure medicine that gave me relief in 2 weeks.

My dr gave me the nitroglycerin also I didn’t take it because the nifedipine worked. I also have migraines which is a side effect of the nitroglycerin another reason I didn’t take it. Unrelated regarding the migraines a friend told me to see an acupuncturist for them I did and have only had a very mild one since July. Amazing what one finds out.

Hi! Your name is Mikayla? Weird huh?!! Mikayla is my cat, love that name!
I'm going to heal this thing!!! I'm so determined, but of course I know it might not work. But thanks for the advice, and about the Topamax, I will definitely keep it in mind.
Did your 2 surgeries work in the end?