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Please help , i get frustrated
Have been suffering from recurrent constipation, fissure/piles and anal irritation for 4–5 years. I tried medicines occasionally, but the problem kept returning. In June 2026, I consulted an Ayurvedic specialist who diagnosed fissure and fungal infection and gave me a 1-month course. It worked very well: constipation and irritation improved and bleeding completely stopped. However, about a month after stopping the medicines, constipation and digestive problems returned, followed by occasional fresh-red bleeding after very hard stools. I already take fruits, fiber and plenty of water, avoid outside food, maida and junk food, and have restricted many foods out of fear of constipation. Sometimes even soft stool is difficult to pass and requires straining. Because of this, I have also stopped exercising and avoided gym, eggs, chicken, paneer etc. for years. I am extremely frustrated and want to know the underlying cause of my recurrent constipation/digestion problem and get a solution
Answers (4)
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Experiencing chronic constipation and anal symptoms for several years is deeply challenging, especially when dietary efforts and exercise adjustments haven't provided lasting relief.
When soft stools are still difficult to pass and require straining despite high fiber and fluid intake, the issue often extends beyond simple diet or dehydration.
Potential Underlying Causes:--
*Pelvic Floor Dysfunction / Dyssynergic Defecation
*Anal Fissure & High Sphincter Tone (Anal Spasm)
*Irritable Bowel Syndrome with Constipation (IBS-C) or Slow Transit Constipation
Consulting an in-person Gastroenterologist or Colorectal Surgeon is crucial for a definitive diagnosis rather than relying on temporary symptomatic fixes.
Unnecessarily restricting foods like eggs, chicken, or paneer out of fear is generally unhelpful unless a specific food explicitly triggers symptoms. Protein foods do not inherently cause constipation when accompanied by adequate fiber (fruits, vegetables, whole grains) and fluid intak
Light to moderate physical activity (such as walking, light cardio, or mobility work) actively stimulates bowel motility. Completely avoiding exercise can actually contribute to sluggish digestion.
Next Steps
Consulting an in-person Gastroenterologist or Colorectal Surgeon
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Well, I understand your frustration. Some people do experience digestive issues like this.
You can naturally take around 20 g of chia seeds every day. You can also use psyllium husk (Isabgol) and prunes, as they are good sources of fiber and may help improve bowel regularity.
Also start protein intake; it shouldn’t affect you as long as you are taking enough fiber.
Make sure you drink enough water when increasing your fiber intake.
Next Steps
You can undergo small surgery like lateral anal sphincterotomy
That will help with passing stools
Get yourself examined from a general surgeon
They will check for your anal tone
If it’s very high , no matter what high fiber diet you take , it won’t help
Health Tips
Get yourself examined, also please avoid ayurvedic treatment
Get surgery if required
Your problem can be solved with minor surgery… donot hesitate to go to general surgeon
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Cause of.bleeding is fissure and reqson for that is hard stool . consult a gastroenterologist or colorectal surgeon ,they will analyse the hardness ,shape and size of stool and decide appropriate investigation like colonic transitions study ,anal manometry/colonoscopy etc
Till then take fiber like whole grain (Gram etc) ,papaya Carrot Radish,green leafy vegetable like lettuce ,spinach ,
And syp cremaffin,No need to avoid GYm ,eggs or paneer .
Do Sitz bath
Next Steps
Consult gastroenterologist
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Your symptoms are most consistent with chronic constipation associated with an anal fissure, possibly with a functional defecation disorder. The fact that you sometimes need to strain even when the stool is soft suggests that the problem may not be simply a lack of fibre or water.
Since this has been recurring for 4–5 years, I would recommend an in-person examination by a gastroenterologist/colorectal surgeon, including abdominal and anorectal examination. Depending on the findings, evaluation for causes such as pelvic-floor dysfunction, IBS-C, hypothyroidism, coeliac disease or other less common conditions may be considered.
The fresh-red bleeding after very hard stools is commonly seen with an anal fissure or piles, but recurrent rectal bleeding should not automatically be attributed to piles/fissure without examination.
Treatment usually involves maintaining consistently soft stools for several weeks to months, rather than taking medicines only when constipation becomes severe. A gradual return to normal physical activity is also advisable. You do not need to unnecessarily avoid eggs, chicken, paneer or other foods unless a particular food clearly triggers your symptoms.
Please seek urgent medical attention if you develop significant or persistent bleeding, black stools, unexplained weight loss, severe abdominal pain/distension, vomiting, fever, anemia, or a major change in bowel habits.
With the correct diagnosis and a structured long-term bowel regimen, this is usually manageable.”
NICE guidance also emphasizes assessment for underlying causes when constipation is persistent/intractable rather than repeatedly treating symptoms alone.
Next Steps
* Gastroenterology/colorectal consultation.
* Anorectal examination to confirm fissure vs hemorrhoids and assess sphincter/pelvic-floor function.
* Review medications/diet and bowel habits.
* Consider targeted blood tests (e.g., CBC, TSH, calcium, glucose; coeliac testing when appropriate) based on clinical assessment.
* Establish a long-term stool-softening regimen rather than intermittent treatment.
* Gradually restart exercise and avoid excessive dietary restriction.
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