It’s a case of acute fissure. Just you need to have antibiotic tab oflox oz BD
Tab lyser D TDS
ANOVATE ointment local application TDS after cleaning
Lignocaine jelly 2% before passing stools
Syp lactulose 2 tsp HS ALL FOR 7 days
Next Steps
For further difficulty consult me or book an appointment.
Health Tips
Next time try some lubricant like oil or some local anesthesia