hi. i developed a fissure after having a thrombosed hemorrhoid removed. the surgeon that i am seeing prescribled diltiazem gel which healed the fissure after 8 weeks. however, i'm torn again, and tomorrow i'm going in for a botox injection procedure. this should help promote healing and is more effective than the gel treatment, says my surgeon. i will post again and let you know how it goes. in the meantime, i have actually found that the only real relief i have been able to find with the exception of warm sitz baths which i rarely have time to do anymore, is from heating pads. the size that i buy is @ 4*6....and they really work to relieve the pain....instantly.

hope this helps.