<s>[INST] Hello doctor, I am 35 years old lady having horrible pain in my anus while passing motion. It is intolerable. I am applying Anovate cream but still, it is not helping. Please advice. [/INST] Hi. I have read your problem carefully. Though history is incomplete, I think you are suffering probably from anal fissure. I need to know if there is any bleeding per rectum or anything coming out from the rectum during defecation. It occurs mostly in a female. The main cause behind it is chronic constipation (passing hard stool chronically). You need to follow the following: Taking adequate water, adequate vegetable, and fruits. Taking hip bath 3 to 4 times daily, warm water in a bowl, add 3 to 4 spoons of Betadine solution and sit on warm water for 10 minutes. Take stool softener, syrup Osmolax 3 to 4 spoon 3 to 4 times daily for 7 to 10 days. If not improved within 2 to 3 days, consult with a surgeon immediately. </s>