Our expert says:
Get yourself some Lactulose syrup and take 15-20 ml every night. for acute constipation you can take 30 ml every 6 hours. Please avoid pain injections or anything with codeine in it - it causes constipation!
Nitroglycerin or nifedipine paste might be prescribed to apply around the anus a few times a day. The paste relieves pressure in tissue around the fissure and increases blood flow to promote healing. Temporary headaches or light-headedness from the paste are possible side effects. Botox injections into the internal sphincter muscle relaxes the anus and reduces spasms. The long-term effectiveness of this new treatment is still being studied.
Ask your doctor about this - there may be surgeons in your area that can do this?
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