Hi, I'm 25 years old, 5'11'' tall, and weigh 160 lbs. Last year, I was diagnosed with a chronic anal fissure upon a visual inspection by a doctor (the fissure has an associated sentinel pile and is located at the 12 o'clock position along the midline). My symptoms included bright-red blood spots/streaks on toilet paper, an occasional fine, bright-red streak of blood down my stool's surface, but no pain except for a very slight itchiness/soreness in the fissure area which lingered after a bowel movement. Sometimes the streak was wider, depending on my stool's girth or softness/hardness (it was wider on the stool surface wherever the stool seemed wider or harder). The fissure seemed aggravated by harder stools or the sometimes impacted distal ends of stools.
Now, I drink about 3 to 4 litres of water everyday and have a relatively active lifestyle and well-balanced diet that often includes good amounts fibrous foods like fruits, vegetables, and All-Bran cereal. My stool is usually brownish, soft, formed like a torpedo, and easy to pass (I have a bowel movement about once per day). However, sometimes my stool is a harder/wider or has a impacted distal end, causing the symptoms mentioned above to reoccur (the fissure flares up).
I have never experienced any pain with my chronic anal fissure, only some itchiness and soreness. Given this, would surgery for my chronic anal fissure be recommended or should I just live with it as long as it doesn't cause me any severe pain or disruptions in my daily life?