Hello, An anal fissure is a tear or a cut in the anoderm. Constipation and passage of hard stools is often the cause of an anal fissure.Most anal fissures are located in the midline and are posterior more frequently than anterior. Anterior fissures are seen more often in women. Most fissures heal spontaneously, but some persist.  More than 90% of fissures heal spontaneously. Symptomatic fissures warrant treatment. Conservative management is the first line of therapy. Increasing dietary fiber and water intake should be coupled with fiber supplementation. Psyllium-based products are the preferred fiber supplement.  Patients should drink at least two glasses of water or fluids each time they take a fiber supplement dose. A laxative like gutclear you are taking,once or twice a day, is added for patients with persistent constipation despite increased fiber intake.   Taking a sitz  bath in warm water once or twice a day for ten minutes may offer some relief.  Lidocaine 2% jelly is prescribed to reduce pain as needed before and after bowel movements. Steroid-based creams like faktu are generally not helpful. Surgery is advised if conservative treatment fails. Consult a doctor and get yourself evaluated properly. Thanks