Dear,
1you are suffering from first degree piles-haemorrhoids. It is not fistula.
2. Hard toilet means constipation which is a lifestyle problem and not a disease. To treat, 1. Increase fluid intake, 2. Takr emolient laxative like duphlec sy or cremaffin plus 1 tsf at night, 3, take naturrolax grannules or isabagol powder 3-4 tsf in at least 300 ml. Of water, 4. Apply zincal ointment twice a day inside anus, 5. Take high fiberand high redue diet, 6. Avoid taking pain killers so far as po...more

Dear
yes this anal fissure but the treatment is slightly off line. Remember fissure is due to constipation with passage of hard faeces. It is not a disease but a lifestyle problem so some change in your lifestyle is essential. Though this is not my speciality still follow the suggestions ans they would help you
1. Drink plenty of fluids
2. Take high fibre diet like salads green leafy vegitable and fruits esp. Papita, banana, mango etc.
3. Take liq. Cremaffin plus 1 teaspoonful a...more

Avoid spicy food in your diet and take syp cremaffin two tsp at night and take tablet pause 500 mg 1-1 and take tablet metrogyl 400 mg 1-1-1 for three days and For pain take tablet paracetamol 650 mg

Kindly mention your age and take liq cremaffin plus 2tsf at night and consult privately for personalised treatment.

Take syp cremaffin two tsp at night and apply lidocaine ointment and if necessary get it operated and avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet.

Just do nothing but change of little habits of urs like
1) drink plenty of water
2) don't eat oily and fried food
3)don't go ahead eating with red meat like mutton
4)avoid have pomegranate, banana
5) have syp cremaffin 30 ml at bedtime

For constipation eat food with high fiber content and eat bananas at bedtime and if necessary take two tsp of syp gudlax at night and Take syp cremaffin two tsp at night and apply lidocaine ointment and if necessary get it operated

Avoid tea/coffee alcohol, smoking spicy food.
Life style changes and food habbits can solve your problem easily.
Chew your food properly.
Avoid outside food.
Walk about 3-5 kms daily.
There should be gap of 2hrs after dinner and sleep.
Small and frequent meals is of help.
Keep your blood sugar controlled.
Raise your bed about 4" from headend side.
Get your gastroendoscopy done.
Syp cremaffin plus 2 tsf daily in night 10 pm.

Eat a high-fiber diet and exercise daily for at least 30 minutes. Take liq cremaffin plus 2tsf at night for 3 days and revert back.

Respected lybrate-userhi it seems related to fissure problem. Try to avoid hard stools avoid oily spicy stuffs & nonveg food. Take more liquids green leafy veg fiber content
fruits curd for better digestion. Tab esgipyrin & rantac (150) 1 each mor & eve after meals for 5 days. If hard stool then consume liquid cremaffin plus 3 teaspoonful at night for 5 days. Apply xylocaine jelly (5) 2-3 times over anus specially after passing stool. Sit in mixture of warm & cold water filled in tub for 10-...more