instruction: hello doctor I am a 24 year old male with no past medical history I have been facing pain while passing stool the pain ceases after a few hours but it comes again if I sit for a longer duration sometimes I see small strips of blood on the stool I have been sitting in warm water and keeping ice pack for some days it does help relieve pain on examination I also saw a small fleshy lobe near the anus I am attaching a picture of the area
output: hello as I can know from your history that you are suffering from pain while passing stool and also blood in the stool you have noticed I have diagnosed your problem it looks from your photographs although it is not very clear that you are suffering from anal fissure may I know if you have occasional constipation and if you have work that has a more sedentary lifestyle I suggest you to have leafy vegetables salads high fiber diet cabbages and spinach so that you do not have constipation next you can buy dabur isabgul powder and take two teaspoons in one glass of water or milk you can take at bedtime and drink plenty of water apply anovate ointment beclomethasone dipropionate in the raw area where you have pain after passing stool get back to me after three days and let us see if it works or not take hot sit bath I mean you have to sit in a tub of lukewarm water at least three to four times a day it heals 80 of anal fissure