###Human: My wife could notice blood in her stools. Could you please advise us with proper guidance? ###Assistant: Hello. I understand your concern. It seems like your wife has second degree hemorrhoids which has also led to her fissure. The good news is that it can be managed medically. The first line of management is medical management. Itching is a very common manifestation, which is also known as pruritus. There are certain guidelines:  Before all this you need to go and get yourself examined by a good reputed general surgeon in your area. Ayurveda is outside my field of expertise and I am not convinced about you using ayurvedic medicines to treat hemorrhoids at this stage. There are other various possibilties like rubber band ligation, sclerotherapy, cryotherapy, etc. The doctor who examines her may advise a colonoscopy to find out the status of the fissure. My final advise to you is that her condition is treatable and you need not have to worry. She needs to be under a good surgeon. There are various other modalities, which can be decided based on her local findings. Hope this was helpful. consult a general surgeon online for further follow up -->