Brief Answer:
Additional treatment will help.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

It will take few days for healing of the anal fissure detected for the first time.
Since this is for the time that you have anal fissure, this will heal completely and can be healing permanently if you follow the treatment as given bellow.

Weight has nothing to do with anal fissure. So you may please forget that aspect as it is not related to the anal fissure.

Brown rice and whole wheat: you have to take the full normal diet as you were taking before, there is no deed to take something special.

High fiber diet.
Avoid all the foods and beverages and stress-like conditions which gives constipation.
Laxative for softening the stool- never allow the dose too much to cause liquid stools.
Sitz bath in a tub with warm water - very important- just before passing a stool and after passing a stool.
Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean.
You can apply liquid povidone iodine locally. Continue applying other ointments as advised by your Surgeon
5 day course of an antibiotic and Metronidazole on prescription of a local Doctor.
Add probiotics and multivitamins.
Avoid stress and mental tensions at any cost; this is a very important factor.

This helps all my patients and should help you too.

I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.

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Brief Answer:
As discussed.

Detailed Answer:
**hemorrhage / anal fissure are they linked with each other. Will anal fissure leads to hemorrhage if not properly treated.
>> fissure is a crack in the skin and will bleed on stretching. As occurs in anal fissure too.

**I have been using white rice for long period. (once a day -lunch time alone)
But Some suggest that moving with brown rice will give much better health benefits to intestines and entire human body.
>> Why do you want to ask some people who do not know ABC about the topic,
Who are these ''some'' people?
Have they got the formal training in Nutrition or so.
- The basic idea of what we learnt in a long practice is that the person / patient should be the only decision maker, as you alone know what suits you the most, and what does not. You should never make any sudden changes in diet. Continue full diet as you were taking and remember to avoid the foods and beverages which you remember caused ''you'' the problems.

**Whole Wheat bread is much better for health than white one?
> Whichever suits you.

**Similar in case of meat? white meat is better than red one.
Do you agree Doctor?
>> Whichever suits you. At the moment you should concentrate on getting out of the present problem at the earliest and permanently.

**Sitz bath: plain water only.

You have already visited a Gastro Surgeon.
You may buy from the Pharmacy if it does not need a prescription.
Liquid Creamaffin Plus start by taking 2 tsf at bed time and adjust the dose if required; meaning if not much effective take 3 tsf tomorrow and if causes too liquid reduce the dose of tomorrow night.

Liquid povidone is applied locally to the fissure after passing motion and after cleaning properly to make the skin area sterile.

Some Surgeon prefer not to give antibiotics unless they feel it necessary, I do advocate as stool has the highest bacterial counts and can cause super-added infection. Hence it is up to your Surgeon to write or not to write, in addition you can certainly discuss.
We have to reduce the confusion and the aim is to get cured.

I'm really sorry if I appear a bit straight forward (or blunt) at some places, but these are the small mistakes which will make your problem chronic if the problem is not solved properly.

Please feel free to discuss further if you need to.
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant

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