Recurrent anal fissures can indeed be frustrating, and while you’ve made some beneficial lifestyle changes, let’s dive deeper into Ayurveda for a sustainable way to manage this. The Issue here is primarily related to vata imbalanced with apana vata (responsible for downward movement and elimination) being disturbed. It’s also a sign weak agni or digestive fire which needs strengthening.
First off, hydration is critical but 1 liter a day might not be enough. Aim for 2-3 liters daily to keep the stools soft. Also, explore more fiber-rich foods - whole grains like barley and oats plus fruits like papaya (helps soften stools) and bananas can be helpful. Ghee too can aid in lubrication: mix a teaspoon of it into warm milk before bedtime.
Now for that Lookman-E-Hayat oil: it can be useful, but a gentle herbal remedy like Jatyadi Taila is often recommended in classical Ayurveda for healing anal fissures. It’s soothing for the tissues and might enhance healing. You can apply it after your bowel movement — but do seek a consultation to make sure it’s suitable for you.
Regarding stool softeners, there’s Avipattikar churna which can be helpful. Unlike Triphala, it has heating properties that won’t aggravate low blood pressure. Start with half teaspoon mixed with warm water before meals, once a day, and monitor how you respond.
Enhanced digestion is key for prevention. You might want to sip warm jeera or ginger water during the day to stoke that digestive fire. A good probiotic, like homemade buttermilk (takra), is supportive for gut health, take it with a pinch of roasted cumin powder regularly.
Let’s not forget lifestyle - mind your mental stress, and engage in relaxed activities like yoga asana, focusing on ones that support digestion, like Pavanmuktasana (wind relieving pose) and Vajrasana (thunderbolt pose) after meals. Regular pranayama practice, particularly Anulom Vilom, can harmonize vata.
For the Triphala and low BP dilemma: moderate use is fine. But if you’re cautious, definitely opt for alternatives mentioned prior. Lastly, swing by an Ayurvedic practitioner if the fissures are stubborn - they might propose therapies like Ksharasutra or specific enemas (Basti) that can offer additional benefits.