Anal fissure from 4 weeks. Currently taking Senna8.6mg and Miralax. Still have hard BM initially?

Hi .I have been in pain with a large Fissure(saw the general surgeon who inserted a camera in my rectum) and he gave me some choices)
1. have an operation to repair the fissure.
2. To try and heal the fissure with medication and diet.
I chose #2 and from his advice I started the following 1 month ago.

PCCADiltiazem HCL 2% in Petroleum 3 times a day
Senokot S 1 am 1pm
Metamucil 1 tsp am 1tsp pm
For the itch I use Hyderm 1% &clotrima 50-50 am and pm
Since I started this program my stool is very soft and I am now free of pain.
Thr Dr. said that the choice I made was a good one as I got rid of the pain and is giving the fissure time to heal (I hope)

A stool softener can be used without interfering with any of the other medications. Also, a sitz bath works very well with anal fissures. I know that it is a pain to sit there several times a day, but the relief is worth all that time, and the more rapid healing time.

Have you been to see a gastroenterologist? An anal fissure is a serious situation - you are potentially causing ecoli to enter your bloodstream, which could be fatal. Yes, there are plenty of options - there are medications and OTC meds to keep your stools very soft until your fissure has completely healed. Then you gradually modify your diet to include lots of water, fruits, vegetables, grains - to include fiber and bulk. But this need to be done gradually - and you have to know if there is a medical condition that led to this fissure happening. So, the first step is to see a professional - a gastroenterologist. They can give you information also on how to modify your diet - which can also be learned by a Google search on how to increase bulk and fiber in a diet? I hope your fissure heals soon and you can make these changes - it's a serious problem. Regards - ElizaJane