If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Going through five procedures by the age of 21 is exhausting, and I want to reassure you that your present problems need investigation, not necessarily a sixth operation. The continuing anal pain 4 months after fissure surgery, needing two sitz baths a day, usually comes from anal sphincter spasm with a non-healed or recurrent fissure, or from scarring/narrowing after repeated kshara sutra and surgery - most of this is managed medically with sphincter-relaxing ointment, stool softeners and pelvic floor physiotherapy. The newer pulling, burning lower abdominal pain going down both legs with the whole lower body aching is a separate issue and is not explained by the fissure: in a young woman it points to pelvic floor myofascial pain, a gynaecological cause such as an ovarian cyst or endometriosis, a urinary cause, or nutritional deficiency and anaemia from your 20 kg weight loss and poor eating. Importantly, eating slate pencils for 3 years is pica, a classic marker of iron deficiency - that alone can cause aching legs, breathlessness, weakness and much poorer pain tolerance. So yes, your college habit may well be a clue, but to the deficiency, not to the pain directly.

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Needs proctologist opinion for detailed evaluation Kindly consult for further advice

Require proper assesment .so kindly connect and  provide proper history

I have read your case it seems that i want to know your history in more details and please don’t ignore symptoms you have i can be serious issue further in future if you feel then free to connect me on WhatsApp or practo

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Hiii Looks like , you have a complex medical problem I had read your history, I can only help you, only after complete history and further examination I am qualified surgeon, so this disease needs detailed history and further examination, so only can help you after more information

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult

Need a few more details please consult for further evaluation and treatment

Need few more details for further evaluation. Kindly consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management