Conversation: The conversation between human and AI assistant.
[|Human|] Sir, I am Biswajit Chatterjee since last 10 days I am surrering from Anal Fissure I go to Surgeon and he advised for operation but I am very much afraid for this in this regard I am feeling burning specially after stool. Pls advise me the best ointment still I am using Cremagel and Seitz bath. Regards
[|AI|]  Hello, Welcome to Chat Doctor, Anal fissure is a cut or tear occurring in the anus that extends upwards into the anal canal. Fissures are a common condition of the anus and anal canal. Anal fissures are caused by trauma to the anus and anal canal and also by a hard stool or repeated episodes of diarrhea. The following are the different modes of treatment for anal fissureInitial treatment involves adding bulk to the stool and softening the stool with high fiber diet and advised to avoid foods that may not be well-digested. Site baths Topical anesthetics prior to a bowel movement to reduce the pain of defecation along with the steroid cream to reduce inflammation. Oral medications like nitroglycerin to relax the smooth muscle of the internal sphincter have not been shown to aid healing. Ointments containing calcium channel blocking Chat Doctor. Surgical procedure called partial lateral internal sphincterotomy is the technique of choice for the treatment of anal fissures. Thank you.