Hi, Thanks for posting in HCM. I understand your concern. The problem what you are facing of constipation is going to complicate anal fissures. Constipation can be overcome by taking laxatives like Isabgol Powder Psyllium Husk, which is a natural fibre supplement. Also, you need to drink good quantity of fluids, eat soft and easily digestible fibre rich diet along with it. Since you have anal fissures, it can be corrected only by means of surgery. You need to undergo minor operation called cryosurgery to get rid of this problem almost permanently. Kindly consult Surgeon in this regard for appropriate evaluation and management. Hope the information provided would be helpful. All the best.