Hi Suresh,
Thanks for writing in.
Your history suggest that you are suffering from
anal fissure that is causing lot of pain and your conservative management has failed to releive your pain. In this condition I will suggest you to
consult a general surgeon to have a proctoscopic examination and to assess the status of your fistula. There are many grades of fissure and every grade has a definite treatment. As your conservative management has failed I dont think it is now in grade 1. In that case you may have to go for surgery. But before that you should consult your surgeon to take the decision.
Thank you.