nb - if the only thing the doctors have prescribed for the fissure so far is hemorrhoid cream and that is not working, then shame on them. If your son is having a great deal of pain when he passes stool, then he might be reluctant to go, holding back, thereby making the stool harder and larger. Then the fissure is further aggrevated. There is a Lidocaine gel that comes with a rectal applicator that is used prior to having a BM. The lidocaine temporarily deadens the area and makes the BM painfree.
What type of hemorrhoid cream did they give him? If it is over-the-counter, then there are prescript
ion creams that are stronger. Protosol is one that comes to mind. It is a strong steroid pintment that comes with a rectal applicator. There are other brands available. The key ingredient is the prednisone in prescript
If steroid ointments do not work, then the doctor might try nitroglycerin ointment. It works by allowing the anal sphincter to relax and reduce pressure. That allows the edges of the fissure to come together and heal.
If those do not work, some people have had success having Botox injections in to the sphincter.
From the results of the Prometheus test, doing a colonoscopy sounds like a prudent course.
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