I'm a UC person currently in remission. It has been about two and an half months since I was diagnosed with an anal fissure by Dr. Amit Goyal in Sacramento and started on sitz baths and nefedipine ointment. I went back once before, at which point he said it was healing, and again today and it has not healed. He said he could actually see the muscle and it's very painful at least several hours each day. At this point he recommends either Botox injections, about which he is not too optimistic, or surgery. Surgery is potential problem in the event of subsequent j-pouch surgery.
My thought is that the Botox is low risk and I could go ahead with that but a think I must consult Dr. Varma before agreeing to surgery, if it comes to that. Your comments on the road to take are welcome. Please feel free to PM is you prefer. Thanks all.