We need detailed conversation about your meals , daily routine , lifestyle, medical reports etc for exact solution. For better counselling Please consult via app

Hi mam Since there are multiple issues I would suggest you visit a general physician who could probably more precisely pinpoint the source of the problem as there are multiple issues you had mentioned Hope your stool issue is better or you are still having issues then you could contact me directly through Practo. Will be able to help you.

Constitutional homoeopathic treatment will be effective for these problms I need your details case history to guide u properly if u wish to take treatment consult online through practo app for proper management

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Consult with Internal medicine doctor and ask your doctor for Iron deficiency and nutritional deficiencies and please stop eating slate pencils and 20 kgs weight loss not to delay further, please seek urgent medical care.

Please consult a colorectal surgeon/gastroenterologist for the ongoing anal, lower abdominal and leg pain before considering another surgery. Do not ignore persistent or worsening pain, especially with fever, swelling, vomiting, urinary problems, or new bleeding. Focus on soft, easy-to-digest, nutritious meals and avoid skipping meals. Include adequate protein: eggs, curd, milk, dal, paneer, fish or chicken as tolerated to support healing and regain strength. Include fiber gradually from vegetables, fruits, oats and whole grains, along with enough water, to keep stools soft. Avoid constipation and straining during bowel movements. Continue sitz baths only as advised by her doctor. Since you  lost around 20 kg and feels weak, your calorie and protein intake should be assessed and increased gradually. Eating slate pencils for years can sometimes be associated with iron or other nutritional deficiencies, so you should discuss checking CBC, ferritin/iron profile and other deficiencies with your doctor. Do not start iron or other supplements without checking her blood reports/doctor's advice.

Please consult your colorectal surgeon/proctologist again, preferably for a second opinion from a colorectal specialist, and discuss the persistent pain and the new abdominal/lower-body symptoms. Your doctor may need to assess whether there is ongoing fissure-related inflammation, muscle spasm, infection, nerve-related pain, or another underlying cause. If the pain is severe or worsening, or you develop fever, vomiting, abdominal swelling, difficulty passing stool/urine, pus, or significant bleeding, please seek urgent medical care. ☆ For now: • Avoid crash diets, fasting, or unnecessarily restrictive diets. • Focus on small, frequent, nourishing meals to gradually restore your energy and weight. • Include adequate protein from well-tolerated foods such as curd, paneer/tofu, eggs, fish/chicken, or other suitable sources according to your tolerance. • Maintain good hydration. • Aim for soft, fibre-containing foods and avoid constipation/straining, but increase fibre gradually and according to your doctor’s advice. Regarding eating slate pencils during college, can sometimes be associated with iron or other nutritional deficiencies, although it cannot by itself explain your current symptoms.

Consult the colorectal surgeon/gastroenterologist soon and explain the 20-kg weight loss and severe weakness. * Ask the doctor to evaluate for anemia, nutritional deficiencies, infection/inflammation and other causes of weight loss. * Useful tests may include CBC/Hb, ferritin + iron profile, B12, folate, vitamin D, electrolytes, albumin/total protein, CRP/ESR, LFT/KFT, and additional tests based on examination. * Because the fissure is recurrent despite multiple surgeries, the doctor should also reassess the diagnosis and look for underlying causes such as Crohn’s disease or other bowel disorders, particularly if there is diarrhea, abdominal pain, fever or unusual/multiple fissures. For weakness, focus on small, frequent, calorie- and protein-rich meals rather than large meals. About eating slate pencil Yes, it is important to mention this to the doctor. Eating slate pencil is a form of pica, which can be associated with iron deficiency/anemia. It may therefore be a sign of an underlying deficiency rather than the reason for the 20-kg weight loss.

You need diet change also in this healing phase

Good afternoon pls try to meet doctor for it.