First of all if you are using commode toilet, then use toilet step stool, or use squatting position Indian toilet, 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 Laser or any Modern surgery is not good option, Your anus grip can be loose, You should get Ayurvedic Kshar Sutra Therapy, its a painless 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. sushruta clinic, dabri palam road, nd 45