instruction: hi I had hard stool days back since then I facing enormous pain while passing stool each day I visited doc and he has prescribed me ano metrogyl cream to be used 4 times a day but it ist helping also I drink softovac powder once at night situation is not getting better though
output: dear welcome to icliniq you developed acute anal fissure due to hard stools which are now causing pain to you there are ways of sorting it out you have to use local cream to relieve pain and made the anal sphincter relax you have to take medications to make your stools soft I am prescribing following medications it will help out try to drink plenty of water and avoid hard stools thanks hard stools acute anal fissure gun cream mix this cream with ano metrygl cream in equal quantity and apply it times daily locally