Re: suffering from anal fissure and hemmorhoids
I feel for you, I know how painful that sigmoidoscopy is if you have a fissure! You should probably try the Nitroglycerin cream, it might help to heal that fissure, but not the hemmorhoid. I had good luck with prescription Niphediphine, plus sitz baths can help, but don't sit there too long or you will aggravate the hemmorhoids. Do you have a good Colon/Rectal Specialist?
The Proctosol cream you were given was for the hemmorhoid, if that didn't work, ask your doctor about something like Dibucaine, which is non-prescription. The fissure can heal itself if it doesn't become chronic. Unfortunately, the hemmorhoid will not heal itself, you can try to keep it managed but there will be occasional flare ups. The only way to get rid of hemmorhoids is through surgery. I am doing the following to avoid having the surgery: Basically, you need to make sure you don't strain on the toilet. Make sure you get at least 25-30 grams of fiber both insoluable and soluable; build up slowly to this amount, to avoid excessive gas. Also very important, drink at least 8-10 glasses of water daily, or you will get constipated from all the extra fiber. If you have trouble getting enough fiber, ask your doctor about a fiber supplement such as Citrucel or Metamucil to keep yourself regular. Good luck and hope you feel better soon.