Question: anal fissure and continuous bleeding present since last 5-6 months and some times i feel tiredness after such bleeding (such bleeding volume may be 10-20 ml per day )
last month my HB was 6-7 and used to feel fatigue in every morning
i want to know some conservative treatment and operative if possible then suggest me about diet and feeding schedule also

we dont want to go for surgery if there is any conservative therapy then suggest us
sometimes i feel pain in my breast, and feel difficulty in breathing especially at night hours,vomiting sensation also,
and numbness and pain also present at night hours every day since last 2-3 years

fissure /heamorroids, what you sggest , having with me since last 15-16 years

at time of defaecation a mass oval structure (appro, 2cm in dia) used to come out daily and after daefecation i have to pushed it inside the anus

and bleeding comes out from a center point of such mass daily
previously my dilatation surgery perfomed by general surgeon 10 years ago
my question about such disease is whether it is heamorrhoid or fissure
please suggest some local application and diet also which was not mentioned in your first reply
numbness in both hands at night, tiredness after taking rest, and sleepy whole day ,vomiting symptoms .Are these symptoms of anaemia or else
abdominal sonography, endoscopy of stomach has been carried out ,aids ,blood test were normal 2 years ago .lateral spherictomy is safe are not ? what is % of success,my menstrus bleeding restricted to 1 day only