I've been diagnosed with anal fissure with a skin tag, I didn't want to go for surgery because my baby is 3 mo so started with homoeo treatment, was suggested sulphur, arsenic alb, nux voice, mag phos, bc25 to be taken 4 times for 21 days and was applying creme gel avoiding all spicy, oily junk food, having high fibre diet, stool softener and water (all this provided me great relief) but since two days i'm again having extreme pain while defecating as I forgot to apply gel so went for ayurvedic advice where doctor asked me to go for anal dilation for 10 days and since yesterday after first sitting i'm having extreme pain after each defecation. I was given xylocaine gel to apply before and after defecating which gives me relief only for sometime and voveran has been suggested sos. I want to know how effective is anal dilation treatment and how often and for how long xylocaine can be applied as i've read that it makes your skin thinner making it more prone to defecation trauma. Thanks.