You are experiencing constipation with hard stools, particularly in the initial part, followed by soft stools. The pain and presence of piles and fissure suggest that chronic straining during bowel movements has led to complications.
Next Steps
You should consult a gastroenterologist for:
Proper examination of the anal fissure
Evaluation of chronic constipation
Possible prescription of stool softeners or topical medications.
If you experience severe pain, significant bleeding, or fever, seek immediate medical attention.
Health Tips
High-Fiber Foods to Include:
Whole grains like oatmeal, brown rice
Fresh fruits, especially apples, pears, and prunes
Leafy green vegetables
Legumes and beans
Fluid Intake:
Drink at least 8-10 glasses of water daily
Include natural fruit juices and clear soups
Foods to Avoid:
Processed and fast foods
Excessive dairy products
Spicy foods
Caffeine and alcohol
Lifestyle Changes
Exercise regularly for at least 30 minutes daily
Don't ignore the urge to have bowel movements
Maintain regular toilet habits.