1 # Eat a balanced diet Plenty of vegetables, fruits,        whole grains, pulses, nuts, and seeds. Limit ultra-processed foods, excess sugar, and excessive salt. Choose healthy protein sources and healthy fats. 2 # Stay physically active Aim for at least 150 minutes of moderate exercise per week. Include strength training 2–3 times weekly. 3 # Maintain a healthy weight Excess body weight increases the risk of many chronic diseases. 4 # Get adequate sleep Most adults need 7–9 hours of quality sleep each night. 5 # Stay hydrated Drink enough water throughout the day. 6 # Avoid tobacco and limit alcohol Smoking and tobacco use significantly increase disease risk. 7 #Manage stress Meditation, yoga, hobbies, social connections, and relaxation techniques can help. 8 # Practice good hygiene Wash hands regularly and follow food-safety practices. 9 # Keep vaccinations up to date Vaccines help prevent many serious infections. 10 # Have regular health checkups Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended. 11 # Take medications only as prescribed Avoid self-medicating, especially with antibiotics. 12 # Protect yourself from excessive sun exposure

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Better if you visit nearby hospital

Need some more details kindly consult

Six years of chronic anal fissure with three failed procedures including laser surgery and Ksharsutra is a complex case that needs a completely different approach before any further intervention. The persistent same-spot pain and incomplete bowel emptying strongly suggest ongoing internal sphincter dysfunction that has not been addressed properly in previous treatments.

As symptoms are persisting despite previous procedures, a detailed evaluation by a colorectal surgeon/proctologist is recommended. Persistent pain and incomplete evacuation may indicate an underlying fissure, sphincter spasm, pelvic floor dysfunction, or another anorectal condition requiring further assessment. Feel free to book a consultation so we can discuss the complete treatment plan in detail

Detail answered by  dr anuska

Hello , thank you for the question. I understand how incredibly frustrating and painful it is to deal with a condition that has not resolved despite multiple surgeries. When treatments like laser surgery and Ksharsutra do not fully resolve a fissure, it usually means the underlying cause such as severe muscle spasm or a coordination issue in the pelvic muscles , has not been fully corrected. The incomplete bowel emptying you described strongly suggests that your pelvic floor muscles may be tightening instead of relaxing when you pass stool. This constant straining prevents the area from ever truly healing. I completely understand that you are going through an incredibly difficult, painful, and financially straining situation. However, please note that it is not possible to share personal contact or phone numbers on a public medical platform like this due to strict privacy and professional regulations. Before trying any more procedures, it is highly recommended to undergo an Anorectal Manometry and an Endoanal Ultrasound or a defecography even . Furthermore, because you have already undergone multiple surgeries and are still experiencing complex symptoms l, a virtual consultation will not be sufficient to resolve your condition. Online consultations cannot replace the physical examinations, pressure monitoring , and specialized imaging required to find out exactly why your previous treatments failed. ​To help manage costs while getting the expert care you need, I highly suggest visiting the colorectal or gastroenterology department of a government medical college hospital or a subsidized public hospital in your area, where these advanced diagnostic tests and specialized treatments can be accessed at a highly nominal fee.

Consultant with Colorectal surgeon / GI surgeon

Needs local examination and management Consult a General surgeon  for Surgical management

Hi, you can achieve lasting relief with proper care. 😊 The incomplete emptying and sharp pain suggest spasm or scar tissue common in long term cases. Feel free to consult for further guidance. 👍

You r to consult some good local Surgeon

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Bland diet helps

Take cremaffin 10ml during night Drink plenty of water

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult

Need a few more details please consult for further evaluation and treatment

Consult to any general surgeon it’s needs to be evaluated properly