Continue Sitz bath, laxatives and local anesthetic and dilating ointments. Avoid Meat completely. High fibre diet. If symptoms persist for more than 3-4 months with no resolution, we should consider operative methods like Anal Dilatation or Lateral Anal Sphincterotomy. Consult

You may need prescription antibiotics and ointments as anal injury sometimes may lead to widespread anal infection including abscess. You may take sitz bath with betadine lotion now.

Anal fissure/ fissure in ano Common causes of anal fissure include: Passing large or hard stools ...Constipation.. and straining during bowel movement Don’t strain during defecation Sit bath :-:- in which only the buttocks and hips are immersed in luck warm water. Use stool softener, night time ishaghol hush, fiber diets