I’ve been dealing with an anal fissure for the past 1.7 years. It tends to recur every 3 months, always in the 12 o’clock position, and usually appears as a small cut that heals within a week. I drink around 2–2.5 liters of water daily, and my stools are generally soft. Initially, I used Ayurvedic oils daily, and for the past 1 year, and from last 5months I’ve been applying Cremagel (diltiazem) twice daily and occasionally Smuth cream in the morning. This has helped with healing, but the fissure reoccurred again yesterday after I had one episode of loose motion the day before. Like a very small cut. Most of the time, I experience a burning sensation for about 5 minutes after passing stool. Could you please advise on how I can heal this fissure permanently without surgery and recommend an ointment for long term use or any fibre supplement?