Yes U may have both at same time
But first to be examined by surgeon
Proctoscopy needed to be done but should not be done if active bleed is present
Haemarroidectomy - laser,open closed procedures
Fissures- Laternal internal Spinterotomy
Next Steps
Better go for less invasive life laser, sclerosant injection etc
Health Tips
Proper postoperative hygiene helps better wound healing