### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doctor,In 2004 i had constipation once and approached a gastro enterologist.He inserted his finger to examine and i remember stool comming out.He suggested fibrogel and usage of fibre rich food.Till 2007 July i didnt have any problem. That year i had bleeding at the time of defecation. I approached a gastro enterologist and he confirmed that i have fissure. He suggested to heal with medicine. If it repeats he suggested to have surgery. Again in April 2008 August i had problem.In all the above mentioned periods, the pain went off soon and i was normal.But in 2010 on New Year eve i had the problem again with bleeding. I still have the problem on and off. The doctor suggested surgery. I have only one fissure. He suggested to have surgery before the count increases.But i am not inclined to have surgery.Do you suggest Homeopathy or Sidha in this case.

### output:

Hi Welcome to ChatDoctorI have gone through your query regarding your fissure problem. Constipation is a boon of faulty lifestyle and wrong dietary pattern. Causes like unbalanced food habits, irregular sleeping pattern, low physical exercise are few of them. In elderly population, about 70% people are affecting or complaining about constipation. Constipation is mother of all illnesses. Fissure, piles are part of it. If you are severely constipated, the hard stools and strain during bowel movements will cause further harm to your condition by tearing - You may even bleed as the tear gets rubbed by the hard stools. You may feel an urge to itch the affected area.  First thing you should keep in mind , Prevention is better than cure so try to eat a high-fiber & a low-carb Chat Doctor.  Eat food rich in natural fibers to avoid this condition. Whole grains, beans, green leafy vegetables, carrots, figs, raisins and dates, prunes, papaya etc. are some of the best foods you can include in your daily diet. Fiber helps to increase volume and soften the stools, thus preventing constipation. Soft stools will put less pressure.- Avoid sour spicy foods, refined flours foods, as fried, fast foods cakes, pastries, white bread and biscuits. White rice and sugary food items tea, coffee alcohol corn, tortilla chips, and peanuts should also be avoided as they can cause constipation. Milk and milk products can cause diarrhea in some people, can also aggravate the pain in the anal fissures. A gentle instillation of olive oil into the rectum is an effective home remedy to treat anal fissures. You need to use around 50 ml of olive oil at a time. Repeat it daily whenever required, help to soften the hard stools. This prevents aggravation injury and helps heal the fissure quickly. Use of fresh aloe vera jelly compress on the anus will provide comfort from the painful symptoms and help heal the injury fast. Keep the affected area clean and 