###Human: How can we manage constipation and anal fissure? ###Assistant: Hi. The anal fissure can be painful, and it can lead to constipation. The USG (ultrasonography) abdomen scan should be done to rule out any organic cause if present. A stool softener like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide) can be prescribed. As the fissure is present for a long time, she needs surgical management. For proctoscopy examination and operative management, you have to consult a surgeon. For more information consult a general practitioner online -->