First of all if you are using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, Western toilet increases constipation. Since Constipation is a bigger factor behind piles & Fissure. If you are feeling itching & burning, this is symptoms of Anal Fissure, sometimes anal fissure not cured by only taking medication, also surgery is not good option, Your anus grip can be loose, You should get Lateral Internal Sphincterotomy, its a small mini painless procedure which is very latest procedure and also Anal Dilatation is must for few days, after that you will never have a Fissure again. You'll be fine in just 10 days.
Next Steps
Consult me for the treatment
Health Tips
Eat Fiber Food, Avoid Constipation