Diltigesic Organo 2% Gel Health Feed

I am sorry to hear about your concern but will be happy to assist you.
Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. This type of pain may originate without warning. It may vary in severity and duration.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.

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

Yes. Permanent cure is surgery only. Chronic fissure more usually lead to fistula/ abscess of various types.

Took stool softener
some antispasmodic analgesics
anaerobic acting antibiotic
hot sitz bath if not relived then plan for minor operative procedure like lords.

Anal Fissure can be treated conveniently without Surgery by Graded Kshar Karma Therapy. In this treatment a specialized medicine is applied in affected region. This medicine debrides the fissure and induces healing. Usually pain associated with fissure subsides with in a week or 10 days but for complete healing of fissure 4-5 weekly Kshar Karma sittings are required. Now you should take sitz bath (hot water tub bath) 3-4 times a day followed by application of some soothing and healing ointment l...more

Most likely your Anal Fissure has recurred. Anal Fissure can be treated conveniently without Surgery by Graded Kshar Karma Therapy. In this treatment a specialized medicine is applied in affected region. This medicine debrides the fissure and induces healing. Usually pain associated with fissure subsides with in a week or 10 days but for complete healing of fissure 4-5 weekly Kshar Karma sittings are required. Now you should take sitz bath (hot water tub bath) 3-4 times a day followed by applica...more