1. are you in practice of altered food habits,supression of natural urges,firstly make sure you are not constipated: take fiber rich diet and adequate amounts of fluid alongwith stool softeners and then in morning daily sitz bath (sitting in warm water) for 15-20 minutes.
2. pain is for the last 15 days, thus it can be the pain itself or due to non healing of the fissure.
3. because fissure is painful, digital examination is usually avoided, but to know the exact position it is recommended, so consult with a surgeon.
4. take leafy vegetables except kale (palak)
5. Application of 'matra basti' 'jatyadi tail' at frequent intervals before/after passing stools is helpful.

Hi thanks for your question.
Anal fissure needs both surgical as well as medical treatment. Medical treatment includes,avoiding constipation by taking high fiber diet and laxative and using analgesic anti inflammatory drugs locally.Surgical treatment is definitive treatment .In surgical treatment s small surgical procedure called as sphinterotomy is done.
Hope this answers your question.

Hallo. Pirabhakar.
Constipation is known to worsen anal fissure and it will be best to get an enema done.
Also take warm sitz bath.
You can increase the fiber in your diet like eating fruits and vegetables and avoid constipation.
Take AYURVEDA TREATMENT.
Take HERBOLAX tablet at night daily.
Take SENNA POWDER 10 gms with hot water at bed time,
Apply KUNGILIYA VENNAI in and around the anus ,before and after each toilet.

Hello Prabhakar
Welcome to H C M
Thanks for your query
In your case constipation should be removed.
Take high fiber diet like oats, green leafy vegetables, fruits etc.
Take hot sitz bath.
You should also take these ayurvedic medicines-
Arshkuthar ras 2 tab 2 times in a day.
Isabgol 1 teaspoon with milk at night.
Apply Jatyadi tel (oil) in & around the anus after toilet.
Avoid spicy food, red chili, pickle etc
Take it for at least 3 months.
I hope this will help you.
Thank you