First of all if your using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, Western toilet increases constipation. Since Constipation is a bigger factor behind piles & Fissure. If you are feeling itching & burning, this is symptoms of Anal Fissure, sometimes anal fissure not cured by only taking medication, Then you should get Lateral Internal Sphincterotomy, its a small mini painless surgical procedure which is very latest procedure and also Anal Dilatation is must for few days, after that you will never have a Fissure again. You'll be fine in just 10 days.

Hello dear ... I would like to know little more info or history of your problems.. It would be great if we can continue our conversation on my private window as here I am restricted to give you few line of treatment..

This problem is due to piles and hemorrhoids This is due to constipation. Avoid fatty and spicy food and nonveg also. Eat fibrous food and vegetables and fruits and drink much water and avoid long sitting job. Do light exercise and walking daily regularly..

You could be facing constipation due to which there is burning, have plenty of fluids and fibers in your diet to get rid of all these issues. Apart from that its a chronic issue can help you with homoeopathic treatment. If you wish to will reach on same platform. Thank you.

Hello, The symptoms could be of piles. The common reason for piles is constipation. It is among those who are involved in jobs that require sitting for long hours and people who do not indulge in any form of exercise and movement of the body are more vulnerable to it. We have Ayurvedic medicine treatment for your problem. No need for patients to get admitted and no operation or surgery required. You can contact me online or offline for any questions or medication. Tc

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There isn't sufficient information to suggest a specific diagnosis. There's a possibility of pinworm. I would advise you to visit the general surgeon so that you can be examined and undergo investigations such as stool examination so that the underlying cause can be found and treated accordingly.