Hello,
First of all, please do not lose hope. Chronic anal fissure can be very painful and emotionally exhausting, especially when pain continues even with soft stool. Many patients develop fear of passing stool, which further increases muscle spasm and delays healing.
When pain persists despite soft stool, it is often due to internal sphincter spasm and incomplete healing of the fissure, not necessarily something dangerous. Recurrence during winters is also common due to dryness and reduced water intake.
Surgery is not always required, especially at your age. Many chronic fissures improve with proper long-term management, relaxation of anal spasm, diet regulation, and constitutional treatment.
Your condition is treatable, and you can return to a normal life.
Next Steps
Since this issue has been recurring for 2 years and is now affecting you emotionally, a detailed consultation is important to understand bowel habits, stress factors, diet pattern, water intake, and spasm tendency.
With proper assessment, a structured treatment plan can be made to reduce pain, prevent recurrence, and gradually restore confidence in bowel movements.
You may consult me on Practo for personalised and confidential guidance.
Health Tips
✔ Immediate relief measures
• Warm sitz bath 10–15 mins twice daily
• Adequate water (2.5–3 litres daily unless restricted)
• High-fiber diet (natural sources)
• Do not delay urge
• Avoid straining
✔ Psychological aspect
• Fear of pain tightens the sphincter muscle
• Relaxation breathing before passing stool helps
• Try not to anticipate pain
⚠️ When surgical opinion may be needed
• Persistent severe pain for many months
• Sentinel pile with non-healing ulcer
• Recurrent bleeding