Most probably you are suffering from anal fissure. An anal fissure is an oval, ulcer-like, longitudinal tear in the anal canal. Constipation, pregnancy, child birth, obesity, poor fiber in diet, poor bath room habits, postponing bowel movements, straining whilst lifting or vomiting contribute to development of anal fissures. Advice 1. Consult a general surgeon for diagnosis by inspection and per rectal examination 2. Apply locally Anovate cream or Shield ointment every six hours daily 3. Take high fiber diet such as split peas, lentils, black beans, lima beans, baked beans, whole grains, vegetables such as artichoke, green peas, and sprouts and fruits 4. Syrup lactulose (Syrup Duphalac) 2 teaspoonful per oral at bed time if you have constipation 5. Drink 4 – 5 liters of water daily 6. Avoid weight lifting 7. Avoid straining while defecating 8. Avoid coughing 9. Consult a general surgeon for operation 10. Investigation – Hb% Thanks