yeah, a total PITA!!
Bad combo with flare plus fissure.
Do ask the doc for proctocedyl....or use zinc oxide or hydrocortisone cream or even Canesten cream if it's possibly a bit of a yeast infection as well.
Doing a sitz bath can soothe both the sphincter and ease some of the inflammation. Sometimes stool gets into the cut/fissure and causes some inflammation. Witchhazel wipes can help during the day as well.
The Canasa will help, but if you're sensitive to its ingredients (which seems to be your issue)..it can exacerbate symptoms.
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!