- Since you have already got the surgery done twice hence you need to be evaluated to know why you are getting the disease frequently.  - it could be a case of of inflammatory bowel disease, Tuberculosis, or even a malignancy - as an immediate  measure please  use the cremagel twice a day - sitz bath ( take a tub filled with lukewarm water and add half a teaspoon of salt into it and sit in the term for 15 minutes once in the morning and once in the night so that the fissure is dampened by it)

Needs to be reevaluated first. R/O chron's or TB or malignancy. Start with: Warm Sietz bath with KMnO4 powder (2 pinch) BD for 20 mins. Syp. Lactulose (Emty) 30ml H.S. Ointment Anosum 2-3times per day Ointment Hemolit 2-3times per day

Post discharge ticket to know to know what procedure done

Since  you had surgery  two  times in  recent  past you need a thorough  clinical  examination to rule  out  other causes of  perianal  burning pain beside  fissure  in ano. Fidonal ointment  can be applied  thrice daily

Anovate oint is good

Application of crema gel should be at least 1 inch inside anal canal  so that int sphincter gets relaxed.

As per your history, it really need second openion by another surgeon.. it usually happens either bcz of nerve ending irrigation or incomplete surgery or gross constipation.. Bro, I need to examine properly in these kind of presentation before any suggestions

Hi u need a clinical examination When was your last colonoscopy or sigmoidoscopy done

Hi U need proper examination Use fidonal ointment thrice daily Continue sitz bath Thrice daily Syp cremaffin plus 20ml daily

You need a clinical examination