Take triflachurnwith lukewarm water at night before sleep for constipatio

Shatavari ghrita Drakshadi kashay Arshhita tablet

There is no KSHARSUTRA for fissure. You must be having fistula. The thread changing session keeps on till the fistula tract is completely closed. Consult for more updat

You have a proper guidance to treatment of your problem. You make it with a good siddha physician.

Got ur pain n course of getting healthy. Need to re-evaluated

It's better for you take rest...then consult me  I guide you properly

Please consult for proper treatment plan

Fissure bahut painful hoti h aur bahut Der se healing hoti h neem ka marham apko burning nahi hone degassing aur healing bhi karega yah  ek achh antibiotic  bhi h

You a use a healing hand anoac cream for your fissure and anal pain And in my opinion eating salad alot is not got Because when we dont know about our agni and start eating it may also cause constipation So first fixed your eating time Avoid seating,standing for a long period And don't take solid food after 7 pm talk warm milk at night time

-First properly wash with clorine water- BD -jatyadi taila 5ml and ropad Shashank -BD - if constipation is mild use triphla churna 3-5gm (रात में, गुनगुने पानी के साथ) And constipation use sever use shatsakar churn 3-5 gm (रात में, गुनगुने पानी के साथ) - tab.arsh kuthar ras  tab bd -गुनगुने पानी का अवगाह/सिट्ज़ बाथ 10–15 मिनट, दिन में 2–3 बार

Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine

Ohkk i understand your tough situation Firstly uh can drink more water and buttermilk subh sham pii skte ho Papita , cucumber daily diet me use karo Smooth cream lgao area pr Triphala churn raat. Me 1 tsf twith warm water for proper digestion Tab arshoghsn vati 2 tab bd Tab triphala guguuls 2; tab bd Syrup abhayarishrth 15 ml bd

I can understand why you are exhausted after going through multiple procedures. Persistent anal pain 4 months after fissure surgery, especially when it is severe enough to require two sitz baths every day and is accompanied by lower-abdominal/pelvic pulling or burning pain, deserves a fresh clinical assessment. Complete healing after fissure treatment can take several weeks, but persistent symptoms beyond the expected healing period should be reassessed rather than automatically attributed to the old fissure. The absence of bleeding or pus is reassuring, but it does not completely exclude residual fissure, sphincter spasm, scar-related pain, pelvic-floor dysfunction or another pelvic/colorectal cause. The history of eating slate pencils during college is very unlikely to explain your current anal pain years later, particularly if you stopped the habit. Your current symptoms are much more likely to be related to the anorectal/pelvic condition or another cause that needs examination.

You have had a prolonged and complicated course, so persistent anal pain 4 months after surgery should not simply be assumed to be normal healing. Please get reviewed by an experienced colorectal/colorectal surgeon to rule out persistent fissure, sphincter spasm, scar-related pain, infection or another pelvic cause. Persistent anal pain warrants examination, and sometimes further evaluation is needed. Your previous slate-pencil consumption is unlikely to explain your current symptoms without other evidence of a related complication. Given the 20-kg weight loss and weakness, please also have your nutrition and general health assessed. You do not necessarily need another surgery—first identify the cause of the pain. Ayurveda can be considered as supportive care after the cause is established. Please consult me with your operative reports and current symptoms so I can guide you appropriately.