This sounds horrible! First, I would not wait a month to see your GI. If you can see the NP sooner, do it. One way for her to get to know you and your situation is to see her. She will relay what is going on as she works with the GI.
It sounds like you need serious fissure treatment and what you've tried has not worked. Ask about Botox injections. Maybe you even need a temporary ileostomy so this mess can heal. Have you tried Ilex for the fissures?
I hope you get some answers soon.