re: Anal fissures

You need to see a proctologist. This thing can get infected, then you are really bad off. It’ll have infection from the inside out at times.

Not my field but I’ve seen these things get nasty. With infection, you may need surgery and then you have to get it packed with medicated gauze for weeks, even months, etc.

Not throwing stones, but as you can imagine, this can be common in sexually active gay men.

If you drink alcohol, stop. I’ve had fissures for 10+ years and nothing, and i mean nothing, really helped.

I didn’t have a drop of alcohol (before i was a beers and drinks on the weekends drinker) for 6 months over the first half of 2018 and after about a week and half of not drinking, no more pain. Not once for 5 1/2 months. Didn’t have pain at all until i starting drinking beers again over the summer. It eventually got back to how it was before.

No diet changes or medication. I deduced that alcohol was the issue. I’d have 6-10 beers over a three day weekend and for about four days after there was pain and discomfort. Would take a weekend off and by the following week there was never any pain.

Might’ve just been me but it may be worth a try, if you drink.