Thanks for contacting healthcare magic. For constipation problem you have to modify your diet and lifestyle. ..... Do regular exercise more than 30 minutes. Drink more water and avoid spicy foods. Take high fibers foods like whole grains, black bean etc. .... Eat fresh fruits and green vegetables. Avoid alcohol drinking and smoking. Avoid gaseous foods like cabbage, cauliflower..etc Avoid fatty foods and oily foods. Bulk forming agent like psyllium or methyl cellulose can use in severe constipation problem. Somatic laxative can also use. After taking this much care still symptoms are present than you can do colonoscopy for further diagnosis. For treatment of anal fissure and piles...... Maintain anal hygiene. Try to solve constipation ptoblem. Warm slitz bath is helpful. Avoid spicy foods and oily foods. Eat high fiber foods. I hope my guidance is helpful to you. Thanks.