Recurrent anal fissure. Inside help?

You need not worry much In this Era of readynade foods this problem is almost in ratio of 1 in every 5 patients U need to take about 4-5 lit a day Green leafy vegetables 4 times a week More fluids If not controlled by these lifestyle changes..if symptoms are more we will go for lateral anal spinterotomy This means releasing the muscle spasms which is causing pain now

Consult a General Surgeon

Ointment Anobliss 5min before going to motion Cremaffin syrup 15ml at night before bed Sitz bath Proper perianal Care Avoid spicy food especially Nonveg diet

This needs examination rather than texting.  We can give a try to manage conservatively. But then for your case the best would be sphincterotomy / anal dilatation.

Visit a surgeon www.drgandhi.org

For Acute Fissure in Ano, we can go for conservative treatment with & chance to complete healing *Avoid oily, spicy & Non veg/ High proteinaceous diet *Bland diet intake *Semisolid diet *Adequate quantity of water before or after food * Stool softener/ Laxatives( liquid paraffin or cremaffin gel) *Avoid sitting for a longer period  without crossing over the legs/ Avoid long travel & bike riding * Topical sphincter relaxants like Calcium Channel Blockers ( Nifedipine) *Topical soothening  agent like Sucralfate  with bactericidal ( povidone iodine & Metronidazole) e.g  Drez S ointment *Sitz bath , 2 times daily ( Warm water + Dettol or savlon or betadine solution) But in case of Chronic fissure in ano,  conservative treatment suggested only to take a break ( Temporary relief). This may recur after a week, month or years later & leads to a lot of complications like Perianal abscess,Fistula in ano & even Piles (secondary to strainful  defecation to overcome sphincteric spasm). So, in case of Chronic ( or) Recurrent (or) Acute on chronic fissure , tis better to go for surgery

Kindly consult qualified and competent Surgeon