Hello my self akhil I got anal fissure 8 months and I got cured with ayurvedic medicine when failed to gel with allopathy medicine and now 5 days back I got fissure again its burning and paining a lot. I am also having anal sphincter tone tight and I am feeling a lot of stiffness in my anus. How can I relax my sphincter tone without surgery please help me. I am taking a fiber in my diet still I am facing some hard stools. swelling and itching is also there. My age is 23 years so I am not taking surgery option.