instruction: i have pain while passing stool and also blood with it sum time spots and some time much more and I have physical exam to a doctor who said it is not piles it is anal fissure then I ask what is this he said in simple words its a cut he suggest me gun 2 and brixin tab if there is no relief in 10 days there will be need of operate please suggest me
output: hello I will definitely help you regarding your problem anal fissure is a cut in the anal message due to hard stools it may present with pain and bleeding in percent cases surgery not required but proper medicines and prevention is necessary here I will advise you complete treatment only one gel and tablet will not help follow my treatment you will get better in days follow me after days so I will modify your treatment anal fissure sit bath with betadine times for 15 minutes spy duphalac top is ointment diltigesic locally times ointment south locally times tab enzoflam times daily tab panto der od plenty of water avoid spicy and fatty foods high fibre diet days