Use smuth/cremagel ointment and using a finger glove, daily twice dilate try to dilate your sphincter. It might work. And do kegels exercise.  It strengthens your pelvic floor muscles and helps yu to push out stools easily.

Get direct per rectal examination and find out grading for haemarroids It may be treated surgically Check for Complete blood picture as this leads to anaemia Use soft diet, more fluids, fibre rich food, avoid constipation

Meet A General Surgeon for Per rectal examination with proctoscopy

Use anal dilator ,syrup lactulose 30 ml hs , ointment lignocaine with nifedipine local application ,and sitz bath for two time a day in lukewarm water,eat easily digestible food

Dear all, This is nothing but the "IATROGENIC FISSURE IN ANO" Let us compare the  Fissure I ano with Post Haemorrhoidectomy status FISSURE IN ANO Superficial Mucosal breach in the perianal region, itself is intolerable with agonizing burning pain During Haemorrhoidectomy, we are cutting perianal mucosa along with severing of  sphincters invariably, which may extend from minimal to severe depending upon the  competency & experience of the surgeon. However we are injuring anal sphincters, which is not avoidable, i.e we are creating deep fissures at 3 sites. For proper healing of this wound, patients may require periodic and continuous follow up minimum on a weekly basis for the next 3 months. If it is not done, severed  mucosa and sphincters goes for chronic inflammatory fibrosis and anal stenosis, which may cause severe symptoms The follow up is tackled with proper PR examination, anal dilatation if needed along with CCB  blockers for L/A I used to follow "LATERAL SPHINCTEROTOMY ALONG WITH  HAEMORRHOIDECTOMY"  in advance to avoid future Anal stenosis/ IATROGENIC FISSURE induced complications However this patient may need one more surgery to alleviate the symptoms . This will be confirmed only after proper PR, if needed Proctoscopy.