instruction: hello doctor two weeks back I suffered from loose motion after injection and saline I was well but after three days I felt pain in the anus portion because of hard stools it is very painful and I started talking taxi and sit bath and cream that I got from the medical shop I started applying it after a few days itching started and the pain was gone in between these days I just took no masala food like dal curd green and veggies yesterday morning I had hard stool and stomach pain and anal pain also started I have pain on touching while applying the medicine
output: hello well it is uncommon to have burning in the anus when someone has altered bowel habits your symptoms might be occurring secondary to anal fissure for which you rightly took dietary precaution and local cream and sit bath now you just need to keep taking fiber in diet or for temporary use can start syearup lactulose 15 my at night time only thing you just need to do is avoid constipation you can continue xylocaine four to six hourly for a few more days and then stop anal fissure follow up if symptoms do not get better in the next three days