First of all if you are using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, Western toilet increases constipation
. Since Constipation is a bigger factor behind piles & Fissure
. If you are feeling itching
& burning, this is symptoms of Anal Fissure
, sometimes anal fissure not cured by only taking medication, also surgery
is not good option, Your anus grip can be loose, You should get Lateral Internal Sphincterotomy, its a small mini painless procedure which is very latest procedure and also Anal Dilatation is must for few days, after that you will never have a Fissure again. You'll be fine in just 10 days.