A chronic fissure persisting for 5 years with two failed surgeries at age 22 is a red flag â this pattern strongly suggests an underlying condition like Crohn's disease, which causes non-healing refractory fissures that don't respond to standard surgery. The fragmented incomplete stools with pain also suggest possible dyssynergic defecation (pelvic floor dysfunction), which requires biofeedback therapy, not just stool softeners.
Next Steps
Please see a gastroenterologist for a colonoscopy to rule out Crohn's disease and anorectal manometry for pelvic floor assessment. Feel free to consult me directly on Practo for a detailed evaluation.