What are the reason for anal fissure and how it progress to pile and hemmorrids?even patient haves reular fiber diet and good intake of water?

Fissure: Anal fissures are cuts, caused by increased pressure on the rectum, constipation, trauma, or hemorrhoids themselves. Since anal and rectal cancer can act the same way, see a board certified gastroenterologist.

Cause and rx: Usually caused by pushing at stool.Increasing fiber in the diet cause more normal bms without pushing..I wouldtry it.

They don't: Anal fissures do not become hemorrhoids. Fissures are tears, hemorrhoids are dilated veins.