Hi Sir, I have been suffering from fissure  . before marriage it was not so massive and painful but after having 2 deliveries after marriage, it has become worse. Its nearly 10 years and I am not finding any proper treatment as I could not find any lady doctor specialized in this and I hesitate to go to male doctors. Please suggest appropriately
Firstly avoid food that cause constipation. Your diet must contain good amount of water, roughage and green leafy vegetables. Start taking hot sat bath twice a day at least. To do this take lukewarm water in a tub and sit in it for 20-25 minutes. Also apply lidocaine jelly over fissure and anal orifice just before passing stools. Start syrup lactulose 6 SF bedtime to soften stools. Follow up after a week.