Brief Answer:
All explanations provided for reasons and solutions .

Detailed Answer:
Hello dear

Welcome to Healthcaremagic.com
I have evaluated your query completely .

* Reason of the fissure
- in most instances it is hard stool induced cracking of the skin of the anal
opening .
- anal intercourse .
- peri anal skin excoriations from other infections .

* Recommendations for better outcome

- Be sure that fissure will be under control situation ( many times it comes and
goes , there is no life time remedy in any XXXXXXX ) with certain measures .
- Dietary guidelines
* Plenty of liquids with high fiber diet including green leafy veg , whole
grains , cereals , pulses , legumes , organic fruits .
* Avoid all oily , spicy , non veg , hot beverages , dairy fat till possible .

- Life style modifications
* Chew your food thoroughly .
* Regular walking , exercises , YOGA help .
* No smoking or alcohol in any form .
* Avoid stress , anxiety .
* Have regular sound sleep of 8 hours .
* Avoid anal intercourse ( if doing ) .

- Care of local part
* Keep the area clean with antiseptic liquids .
* Sitz bath ( sitting in a tub filled with lukewarm water 10 minutes each
session and specifically after passing stool ) help tremendously
* Avoid very tight clothings as jeans .
* Avoid sitting on hard surfaces for prolonged period of times , long drives .
* Soothing creams or ointments as containing Lignocaine hydrochloride 2%

- Medicinal part
* Pain killer in case of more burning .
* Bulk forming laxative as Ispaghula husk in case of more constipation or
hard stools .

Hope this will help you for sure .
Welcome for any further doubts .

Regards dear .

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Brief Answer:
follow up .

Detailed Answer:
Welcome dear

* That seems in relation with the drying out of the most distal part of the stool
usually due to lack of moisture content .

* Avoiding that would be with plenty of liquids , preferably 2 glasses of boiled
lukewarm water at night before sleep .

Wishing you fine health ahead .

Regards .

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Brief Answer:
Follow up recommendations .

Detailed Answer:
Welcome dear

* Might concern with late wake up , not remaining stool of the earlier day .

* Suggestions

- As previously told along with
- If possible strongly recommended to wake up around 6 am , go for early fresh
air walking for 20 - 30 minutes which will manage your intestine tremendously .

Regards .

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