Also, nitroglycerin ointment may be able to relieve the pain and improve the fissure. Finally, the connection was solid in my body and mind. I get pain sitting and walking and the pain is bad 30min after BM. Such anal fissures might occur in children who have a history of constipation. In UK recently this disease has risen a lot especially amongst the Asian people and they are still experimenting and researching which surgical method is effective and you are right seton is the last option for treating complex fistula. Also keep a big bottle of organic shea based lotion with a pump top and spread a little of the lotion onto your loo paper to prevent a sore bottom before exiting the toilet.