Haemorrhoids and fissure these are mainly associated with straining during defecation.
So u should avoid any constipation. Otherwise these may recur .
U should be strict about your dietary habit .
Next Steps
U should continue Dobesil for atleast total 3months.
Use laxatives whenever constipated, use perianal cream for smooth defecation and relaxing anus.
Continue sitz bath , these will relax skin tag and itching
Health Tips
Avoid red meat.
Plenty of fluids.
High fibre diet.
These little modification will keep you relieved from bleeding piles.