The mordern ALLOPHATIC system is failure these days in case of Anal fissure
and piles mass. either you do surgery the chance of reoccurence is maximum...
These days Ayurvedic treatment of anorectal disease is popular and most successive in both acute and chronic case with common drugs in low degree and minor low invasive surgery called"Kshara sutra " in case of higher degree.
U can contact me for further information