Cremagel 2% Gel Health Feed

Hi Sir, If it's chronic and no relief by medication than you need surgery, normally 70-80% cure with medicine and change in dietary habits.

Your problem of fissures is linked to your digestive system, constipation and intestinal problems. These are to be treated together.
Precautions-
Avoid street food, fried, masala and fast food
Have regular food habits as well as habit of going for motion.
Take 2 to 3 glasses of warm water in the morning. This will help in reducing acidity as well as hardness of stool and you don’t have to strain your pelvic muscles.
Avoid sitting for long time at one place. Sedentary habi...more

From your medicines it seems that you also have some heart problem in addition to high blood pressure. Your treatment plan can only be finalised after having a look on all your investigations.

You have to take medicines on long term basis. But which medicines to continue has to be decided by your physician. People may differ on the type of medicines needed for long term use.

Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa e...more

Diltigesic is same as diltiazem. Apply it outside after taking sitz bath i.e. Hot water fomentation.

Check on your diet Take High Fiber diet and stools should not be hard
Take laxatives If you still have pain / bleeding better consult a surgeon for further management.

Hello sir please go through my article
What is an anal fissure? — An anal fissure is a tear in the lining of the anus, the opening where your bowel movements come out (figure 1). Anal fissures cause pain, especially during a bowel movement.
There is a muscle that wraps around the anus and holds it shut. It is called the "anal sphincter. The sphincter gets tense when the anus is injured. In people with anal fissures, the sphincter goes into spasms, which can lead to further injury.
Wh...more

You should take some stool softening medicine like Haritaki Churna/ Sushruta Churna in night with warm water so that bowel movement is comfortable. Take SItz bath (Hot water tub bath) after bowel movement and repeat for 2-3 times a day followed by application of Sushruta ointment and Lekhan powder in anal canal. Put 5 ml of Sushruta oil in anal passage in night. Xylocaine gel can be applied before and after bowel movement to relieve pain. For further support you may call reception at Sushruta An...more

Soothshekhar ras125 mg twice a day
Gandhak rasayan avleh 10gm twice a day
Charam rogantak malham