Hi, I'm writing in English but please can reply in
Hebrew as well.

I currently in the USA and 3 weeks after my delivery I had bleeding and sharp pain after bm I was diagnosed with anal fissure got treated with nitro 0.4% for 3 weeks twice a day, stooped
had a lot Improvement still wasnt "normal" .
since than I had days when I was almost perfectly fine and day which was worst.
I do eat a high fiber diet go to the restroom every morning my stool is pretty soft and a ot of it mostly. doing sit bats after every bm. I was never suffering from constipation not even after my delivery.
overall I had this problem now for 3 month I assume Its chronic and I have skin tags .which I can see

during those 3 month I was also using nifidifin 0.2% for 1 week and a half twice a day and than started nitro again yesterday night.

the problem is that both this medication are causing me to feel really bad the first nitro was 0.4% and causes my strong headaches I still used it for 3 weeks because its helps.

the second nifidifin 0.2% cause me overall bed feeling and nausea.
and now I started to feel bad again after using nitro 0.2% feeling week dizzy and nausea again.

now beside the first 3 weeks of using the cream when its actully improved the feeling in the anus I feel much better down there when Im not using any cream!!

Is it possible that I might have something else down there that the cream are making worst??(inernalhemorried or I dont know, no extrnal heemoried was seeing by doctor) and also can it be that I might be oversenstive to this creams?? .

the only physical exam the doctors performed are inserting a finger so far, due do the pain, one tried to perform the test when you indert the round plastic, I Forgot the name , managed to go half way due to the pain. d.

first I was diagnosed with anal fissure and after two month the doctor saw one healing fissure and another one (It was a diffrent doctor so I might had them all along I dont know.)

Im aware of the other two options which is botox and the other surgery which Im trying to avoid due to future p regencies.

sometimes lately its itch a lot is it a sign that it is healing?? Can i might have some other problem I should test that casing the fissure? because again I was never constipated.

If Immediatly after using the nitro this time i feelmore pain and for longer hours should I stop it? or is a sign that its working??

also I might be coming to Israel next month and wanted to know if I could come for an appointment.

Is that possible?

What is the cost of the botox at your clinic , Could I still breastfeed if ill do it? what is the estimate recovery time and the side effect? If I was so sensitive to the creams is it possible that Ill be worst
with the botox?
Thank you,