Advice for Sacral Joint Pain and Anal Fissure Due to Hard Stool - #50116

-Dasamoolarasnadi you’re taking may be causing constipation, which is contributing to your anal fissure. While this medicine is generally used for musculoskeletal pain, some herbal formulations can be slightly astringent or drying, which may make stools harder. –Medicine / Formulation: 1)Dasamoolarasnadi Kashayam – Continue 2 tsp twice daily with warm water/milk (after food) if tolerated 2)Isabgol (Psyllium husk) – 1 tsp at bedtime with warm water (to soften stool) 3) tab erand bharat Haritaki 1 tab hs( at night) if severe constipation -Diet & Lifestyle Advice: Drink plenty of warm water (2–3 L/day) Eat fiber-rich foods: fruits (papaya, banana, guava), vegetables Avoid straining during defecation Take warm sitz baths in panchwalkal decoction 2–3 times/day for 10–15 min Apply ghee or Jatyadi/Nirgundi ointment locally for fissure -Follow-up: 7–10 days or earlier if bleeding/pain worsens