Oh boy, have I been where you are, and how. I had surgery for hemorrhoids and a fissure two years ago, and because no one treated the cause of it all, everything came back, and with a vengence. I'd tell the surgeon that I had IBS and bad constipation, and all he would say is, 'Eat fiber, drink water.' Yeah, real helpful. Drs are useless.
So, I too, live with a fissure, and wow, there is almost nothing more painful, esp with fibro on top of it. The things that have helped me the most are Heather's fiber, and Miralax. Miralax, imo, is like powder from the gods.
I take colace, too, but it just wasn't enuf. Now I add just a few granules of Miralax to my fiber (when I mix it in a bottle of water), and wow... the results have just been amazing! I can't take the stuff in capfuls, way too potent for me, but just a touch every day? and soft, well-formed stools are now mine. Muuuuuuuch easier on the fissure. Don't know if that sucker will ever heal, but for now? at least I'm a little more comfortable. I know this is graphic, but the Miralax keeps the stuff still inside soft, and that helps so much because then there isn't that hard pressure on your rectum.
Different drs recommend different things, and some don't like the colace every day, and they don't like the Miralax every day, but imo? it's better than being torn up, all the time. I've lost so much faith in drs, it's just sad. They just don't seem to have a clue. They treat everybody the same, and body chemistries just aren't the same; they also treat everything with pharmaceutical sledgehammers when a more gentle approach is muuuuuuch better.
I've felt suicidal, too. But, I still have things I want to do, so I just hang on, and so can you, you have to. Please don't give up.
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