I am 50 years old there is pain while passing stool but no bleeding from past two weeks I feel there is a cut like fissure I don't want to go for surgery please advise some ointment or medicine.

Dr. Ajay ChokseyGastroenterologist9yrs exp

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Take a laxative (isphagul powder 2-3 tablespoons with a large glass of water at night) everyday for 3-6 months This should ensure your stools are soft You can apply lignocaine 2 % jelly at the anus (if you have no allergy to it) twice a day for 15 days.  

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Dr. R. N. BiswasAyurveda4yrs exp

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First of all if you are using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, Western toilet increases constipation. Since Constipation is a bigger factor behind piles & Fissure. If you are feeling itching & burning, this is symptoms of Anal Fissure, sometimes anal fissure not cured by only taking medication, also surgery is not good option, Your anus grip can be loose, You should get Lateral Internal Sphincterotomy, its a small mini painless procedure which is very latest procedure and also Anal Dilatation is must for few days, after that you will never have a Fissure again. You'll be fine in just 10 days.  

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