Mixed hemorrhoids plus anal fissure must have surgery?

I don't know. Anal fissure is mainly due to usually defecate dry or constipation caused by a long time, so in the treatment is the first to solve the two cases, for constipation, mainly need to pay attention to in the diet at ordinary times, don't eat spicy food stimulation, as far as possible light diet, eat more vegetables and fruits, drink more water, proper exercise, promote gastrointestinal peristalsis, prevent constipation. If there is diarrhea, check, if there is caused by enteritis, can take antibiotics and antidiarrheal drug treatment. Can be conservative medication first, select the conventional hemorrhoids ointment and hemorrhoids suppository for external use, with oral heat cooling blood detoxification runchang constipation drugs.