Fissure is nothing but crack at the anal skin Needed to be addressed Use stool softener, Fibre diet and give spincter less stress This will help healing

Hi sir . It seems u have acute on chronic fissure may be with a sentinel pile also known as skin tag . More than medication u need to change diet habits . Take plenty of fibre food I.e green leafy vegetables and vegetables . Avoid spicy and non-veg food for few weeks. Do a sits bath daily for 5 times . Coming to medication u can use Syr lactilose 15 mL at bed time which helps as a stool softener and decreases straining at stool. For pain u can use ultra st tablet if needed. Use ointment ANOBLISS , apply a peanut size ointment over the fissure . Get your thyroid profile done .

If you have tight stool then start taking stool softener or increase water intake If stool consistency is ok then avoid excessive straining ,use western seat . Take Bhalatak avleh with butter milk twice a day after meal

Needs a proper general surgery assessment as the history is too merky to infer anything.

get checked by general surgeon If it's chronic anal fissure , surgical management is best option - lateral anal sphincterotomy For anal prolapse -will need further evaluation to find out if it is haemorrhoids or rectal prolapse

Pt needs laxative .....sos surgery for hemorrhoids