I tried absolutely everything under the sun except Botox (was told it was temporary) or surgery. I had that thing for TWO years!!! When it started, I was all kidding aside, suicidal. It hurt so bad that I had to walk circles in my yard sometimes. The only thing that has worked is Remicade. It took 6 months to really start working, but the improvement was almost immediate (after second infuiison I felt about 75 percent better).
If Remicade is an option, please consider it. I fought it for two years being scared of it but I'm now so glad I did it.
Oh Decrapster, you souind so much like me. And I'll tell you, my GI told me he uses me as his "worst case scenario" when talking about fissures to other patients! I used to drive to work standing up. Lost 30 pounds trying not to poop!
Anyway, Remicade is very, very good at taking care of rectal issues. If I could go back to May 2005 when I was first diagnosed, I'd start on the R right away. It has risks, but so does everything and you know you can't live like you're feeling now. Really, I spent many, many dollars and tried many different things.
Surgery is also a choice, but could be dangerous. I kind of decided that surgery would just "hide" the symptoms for awhile but Remicade would truly make them go away.