Chronic fissure with anal spasm is commonly associated with hard stools, constipation, and low fibre intake. Here is what you can include in your diet: - Include whole grains, millets, brown rice, quinoa and oats which will add fiber to your diet and help soften the stools. - Vegetables and fruits also contain a lot of fiber and have a high water content which will help improve your bowel movements. - Stay hydrated throught the day by drinking enough water and including fluids like soups and coconut water. - Limit the intake of spicy foods, fried snacks, bakery items and packaged foods as they will hamper your fiber intake. - Keep your sleep patterns regular which will help you regularize your bowel movements.

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Indian Diet Chart – Chronic Fissure with Anal Spasm (Teenager, Low-Cost Plan) 🔹 Morning (On waking) Warm water (1 glass) 1 tsp ghee mixed in warm water (lubricates the stool) OR Soaked raisins 10–12 pcs (softens stool) 🔹 Breakfast Choose one (all low-cost): Oats porridge with water + 1 tsp jaggery Idli (2 pcs) + coconut chutney (no chilli) Ragi porridge (very soothing) Banana + boiled moong dal (soft, high fibre) 🔹 Mid-Morning 1 banana OR 1 apple Tender coconut water (if affordable, optional) 🔹 Lunch (Low spice, low oil, soft diet) Boiled rice (1 plate) Moong dal or masoor dal (thin consistency) Vegetables (steamed/boiled): Bottle gourd Ridge gourd Carrot Beans Pumpkin Curd (½ cup) Avoid: Chilli, pickles, potato fry, brinjal, cabbage, non-veg during active pain. 🔹 Evening Snack Roasted chana or boiled chana (very soft) Fruit like papaya (excellent for fissure) Milk + 1 tsp ghee (optional) 🔹 Dinner Same as lunch or choose: Chapati (2 soft) + dal Vegetable khichdi (rice + moong dal + vegetables, soft) Curd rice (excellent for healing) 🔹 Before Bed Warm water 1 tsp ghee or 2 tsp isabgol mixed in warm water (Isabgol only if stool is hard—safe for teens) 🚫 Foods to Avoid Completely Spicy foods (very important) Red chilli, green chilli Maida foods (parotta, bakery items) Fried foods (puri, bhajji) Non-veg (for 10–14 days) Coffee (reduces hydration) Chips, noodles, chocolate (cause constipation) 💧 Hydration 2.5–3 litres water/day OR sip warm water every 30 minutes 🧊 Sitz Bath (Important for Spasm) Warm water sitz bath 10–12 minutes Twice daily Add Betadine or a pinch of salt if needed Helps anal muscle relax and reduces pain. 💊 Optional Safe Supplements (If you need prescription format, I’ll prepare) Isabgol 2 tsp at night Vitamin C 500 mg daily (heals fissure) B-complex daily (improves skin healing)

For chronic fissure with anal spasm, especially in teenagers, the goal is to keep stools soft, reduce strain, and lower inflammation. Here is a simple, low-cost Indian diet plan that supports healing: 1. Morning (Empty Stomach): 1 glass warm water 1 tsp ghee mixed in warm water OR 4–5 soaked black raisins These help naturally soften stools. 2. Breakfast: Vegetable dalia / vegetable upma / poha with peanuts Choose soft, easy-to-digest grains. 3. Mid-Morning: 1 banana OR 1 orange Hydration: coconut water (if available) 4. Lunch: 2 soft phulkas (no oil/ghee on top) 1 cup moong dal / masoor dal 1 cup lauki, tinda, torai, or pumpkin sabzi ½ cup curd 1 tsp ghee mixed in dal helps stool movement and reduces pain. 5. Evening Snack: Steamed chana / murmura chaat with veggies OR 1 boiled sweet potato 6. Dinner (Light): Khichdi (moong dal + rice) with ghee OR dal + soft roti + cooked vegetables (avoid raw salad at night) 7. Before Bed: 1 glass warm milk with 1–2 soaked prunes (if available) OR

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It's difficult to recommend anything without complete medical history . You may contact for a personalized diet advice. For healthy tips follow my YouTube▶️ channel Dietitian Moumita Dutta

Add grains like rice, wheat , jowar, bajra and proteins like paneer, lentils, chicken,fish with seasonal fruits and vegetables in your diet.

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Vitamin B12 level of 120pg/ mL which is considered severely deficient, intramuscular injections are commonly recommended to quickly restore levels of, especially if absorption through the gut is a concern Initial treatment 1000mcg of vitamin B12 injections Frequency : once every alternate day or twice a week Duration: for 2-3 weeks Maintainance 1000mcg once every month Follow up Re check vitamin B12 levels after 6-8 weeks Assess symptoms improve If levels and symptoms improve, continue maintainance dosage as needed

DAILY DIET CHART Early Morning • 1 glass warm water • 1 tsp ghee(optional) ⸻————————————————————— BREAKFAST • Poha with peas + lemon OR • Idli (2–3 pcs) + coconut chutney (mild, non-spicy) OR • Oats porridge with 1 banana OR • Upma with vegetables OR • Moong dal chilla (two pieces) with curd * Avoid: paratha with too much oil, bread-pakora, spicy chutneys, Maggi and processed or frozen food item. ⸻————————————————————— MID-MORNING SNACK (One portion) • Banana (best option) • Apple • Papaya (excellent for fissure) • Sweet lime / orange • Coconut water ⸻————————————————————— LUNCH • 2 chapatis with ½ tsp ghee on each • Moong or masoor dal • 1 bowl soft sabzi(lauki, tori, parwal, spinach, beans, pumpkin • Rice • Curd(sweet) * Avoid: paratha with too much oil, bread-pakora, spicy chutneys, Maggi. ⸻————————————————————— EVENING SNACK • Fruit (banana, apple, papaya) • OR Roasted chana • OR 1 glass warm milk (if tolerated) * Avoid: chips, burgers, pizza, fried pakora, cold drinks. ———————————————————————— DINNER * Eat early (7–8 PM). Keep dinner light• • Dalia khichdi OR • Chapati + dal + soft sabzi OR • Vegetable oats OR • Moong dal khichdi + 1 tsp ghee ⸻————————————————————— BEFORE BED • 1 glass warm water • 1 tsp isabgol ⸻————————————————————— FOODS TO AVOID • Red chilli, chutneys, heavy masala • Fried food • Maida food (pizza, cake,bread) • Chips, Kurkure, carbonated drinks • Non-veg heavy items (mutton etc.) • Cold milk, cold drinks ⸻————————————————————— OTHER IMPORTANT TIPS • 2–3 litres water daily (warm water) • Don’t sit long on toilet; no straining • 10–15 min walking after meals • Warm sitz bath (warm water sitting) 1 time/day helps anal spasm ⸻—————————————————————

Hello, He need high fibre diet. 3 to 4 litre water/day. Proper exercise Contact personally for a customized diet plan

Good evening pls connect with specific area dietitian for that.