Has anyone had the joy of going through these at the same time? I feel like I may die from the pain. Appears the fissures are from the intense dilation I had - surgeon prescribed diltiazem but it hasn't seemed to kick in yet. I'm doing hot soaks in the bath after going to the bathroom. Any other suggestions for me? My pouch seems to be working pretty well but I'm having a really hard time getting through this. Thanks so much.