Since you have done your basis treatment and due to recurring nature you are mentally disturbed.

1.Eat minimum 30g fibres per day 2. Increase water intake 3. Start walking 30 mins per day Sit in warm water tub twice for 5 days. For treatment please consult.

Will require diet modifications, sitz bath, laxatives and analgesics. For detailed evaluation and advice kindly consult.

You may be having anal fissure which gets worse whenever you are constipated.You can try  sitz bath and anobliss ointment twice daily for a few weeks.If it is not resolved, surgery is the treatment of choice which has higher success rate.

Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

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TILL U DON'T CHANGE LIFE STYLE N DIET PLAN DRASTICALLY THE PROBLEM PERSIST. HIGH FIBRE DIET, PlentyOF WATER N LIQUID , SPROUTS, SALAD, BUTTER MILK CURD. BREAKFAST HEAVY, LUNCH AS U R IN OFFICE OK, NIGHT DINNER MUST BE LIGHT. DUPHALAC SYR 10ML AT NIGHT TILL REQUIRED. OXYURATE OINTMENT APPLY LOCALLY WITH INDEX FINGER, HOW? FIRST ON BUTTHOLE THAN PUSH INSIDE THE ANUS GENTALLY INSIDE ROTATE THE FINGER SO ANAL MUCOSA COMPLETELY FILLED WITH OINTMENT BEFORE N AFTER DEFICATION, N IN EVENING FOR THREE WEEKS FOR COMPLETE HEALING. ZERODOLE SP THREE TIMES AFTER FOOD FOR 3-5DAYS FOR PAIN. ITS A RECURRENT CONDITION DEPENDS ON DIET, WATER INTAKE, TYPE OF WORK, TYPE OF SLEEP. ALL.

Painful defecation home remedies include increasing fiber intake through foods like whole grains, fruits, and vegetables, drinking plenty of water, exercising regularly, practicing relaxation techniques like deep breathing, avoiding straining during bowel movements, applying warm compresses or a heating pad to the abdomen, taking a sitz bath, using stool softeners or probiotics, and consuming foods high in magnesium like dark leafy greens, nuts, and seeds to help relax the muscles and promote regular bowel movements.

Due to hard stools, have fibre rich food

Recurring anal fissures can be due to persistent anal sphincter spasm that reduces blood flow, even when you’re using fiber, water, and stool softeners. Adding regular sitz baths and topical treatments (like CremaGel 2%) can help relax the muscle and improve healing. If the problem persists, consult with me or a colorectal specialist.

“As you have a fissure, you will experience pain whenever you pass hard stool until the fissure is completely healed. To speed up the healing process, continue with the prescribed treatment and take a sitz bath after defecation (using lukewarm water for 5-10 minutes, 2-3 times daily).”

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

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Use more of curd and butter milk. Tab vizylac rich 1-0-1 for 5 days.

It's happey bcz of continuous siting work

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Try Sitz bath If problem persists get physically examined

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Constipation

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