<human>: 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
<bot>: 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.