**Your Opinion:**
It's concerning that your anal fissure keeps recurring despite your efforts to manage it at home. The presence of a lump above the fissure along with bleeding indicates a more serious issue that needs medical attention.
**Next Steps:**
1. **Consultation with a Specialist:** Schedule an appointment with a colorectal surgeon or a gastroenterologist for a thorough evaluation and management plan.
2. **Examination and Tests:** The specialist will conduct a physical examination and may recommend additional tests such as a colonoscopy to assess the extent of the condition and rule out other underlying issues.
3. **Treatment Options:** Based on the evaluation, the specialist will suggest appropriate treatment options, which may include medications, topical treatments, dietary changes, or surgical interventions like fissurectomy or sphincterotomy.
4. **Follow-up and Lifestyle Modifications:** Follow the specialist's advice diligently, and make necessary lifestyle modifications to promote healing and prevent recurrence. This may include dietary fiber intake, hydration, proper bowel habits, and avoiding straining during bowel movements.
Answered2024-03-04 07:09:57
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