Hi, My wife facing anal fissure problem after childbirth (1.5 years before). Doctor suggested pilorute. There is small tear at anal which cause bleeding. After one year getting same problem but after using pilorute bleeding does not stop. Please suggest what a should I do.

Dr. S K SinghAyurveda30yrs exp

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She should avoid constipation. For that take plenty of liquids specially buttermilk. Increase fiber intake like salad, green leafy vegetables etc. Do regular exercise. Take hot water tub bath twice daily. Take some soft laxative like haritaki powder/ Swadisht Virechan Churna etc. Apply some soothing cream or coconut oil in anal passage. If problem still persists contact through Lybrate. 

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