Need to examine clinically to check if fissure is associated with any other problems.
If symptoms don't resolve with below mentioned advise will need to consider a surgical procedure in the form of Lateral Internal sphincterotomy
Next Steps
Consult a Surgical Gastroenterologist/General surgeon
Health Tips
1.Continue stool softeners
2.Apply Fidonal ointment anal region twice a day(morning and night) and also 5 mins before passing stools everyday
3. Continue sitz bath
4. Avoid straining while passing stools