As per your history, you mentioned...you can avoid this cream...because the cream is not usually required unless it is very severe... as far as the concern is a hard stool and anal fissure...you should have to take a few medicines for 5 days along with syrup EVICT daily after dinner for 10 days
Next Steps
you can have a consultation with me for further evaluation and medical management
Health Tips
Avoid oily and spicy food
Have a Sitz bath with betadine solution for at least 15 minutes three times a day for 5 days
consume high fibre diet