Hi, I am sitting here right now with pain from a chronic fissure. I have been suffering for 4 months now. At first my pain was horrifying following each BM. But through trial and error I have found what works for me. It's not easy though, and I am still considering having a Sphincterotomy done but I am petrified of the surgery, search it for related posts. Here is what I do : Drink lots of water (10-16 glasses 8oz), citrucel tabs twice a day, high fiber foods balanced with protein. Ibuprophen 600-800 mg 2 times a day when pain is bad, Whirlpool tub at 97degrees w/epsom salts as much as needed, and also Nupercainal Cream available behind pharmacy counter not on the shelf.
It sucks but I want to leave surgery as a very last option < edited > I have never had pain so disabling or depressing as this, it sucks