it can if it's inflamed as anal pain would if you have an external hemmie (or a thrombosed internal hemmie)
The other thing is if it's unrelenting, it could be an abscess??
Have you taken a look-see to determine of it is indeed a fissure?
Are you doing any extra external topical meds to help with the discomfort and healing of the fissure?
There are a lot of nerves in that area, so if you are sitting, I'd assume the extra pressure would exacerbate whatever is going on there. Even sneezing or excess gas would make it worse.
You could ask the doc for proctocedyl ointment..it has a bit of a pain reliever as well as healing agents in it...I like how it works.
Have you tried sitz baths?
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x daily); Salofalk enemas nightly for flares & taper to maintenance
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux); Effexor XR 75mg(depression); Pulmicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!