See it may be fissure or piles....in fissure you will have burning sensation over anal region during defecation then it may be fissure along with bleeding...if u have pain around anal region and bleeeing during defecation then it may be piles...but u have to look for any external growth at anal region then it may be external piles....so there are many reasons and proper case history must be required....though i m prescribing some medicines it will be helpfull...and consult me u have any problem
Next Steps
.Tab GH vati ( shankar pharma) 2 tab at bedtime...
2. Kankayan vati 2 tab twice a day..
3. Yashtimadu + Akika half tsp twice a day with cow ghee..
4. Rakhtstambhaka vati 2 tab twice a day..
5. Guduchi + shwetachandana + kapardika mix all take 1 tsp twice a day with luke warm water...
6. Trayodashang guggula 2 tab twice a day..
7. Kanchnar guggula make lepa of these tablet by rubbing over any thing and apply if there is external piles...
Do hot sitz bath with adding 1 tsp haldi and 1 tsp truti in it u will definately get relief...
Health Tips
Take plenty of water and fruits,Take amla juice with honey, ginger and tulsi 1cup twic a day Take grean tea 1ce a day. Take mixd fruit servings 1ce a day Mixd salad with meals twic a day .Take ur diner four hour bfre bed Avoid al beverages and maida products includin bscuit,tea,cofe,oily,spicy,avoid junk, Handful of dry fruits 1 to 2 times a day. Take 2 to 3 egg whites in a day, Lemon juice with honey twice a day.Dont drink water in betwen the meals .Dont drink water for 1hour after meal Avoid any food for 2 hour after meal Avoid pickle also , Take coriander leaves juice twice a day half cup. , Tak kadipatta 10 chew twice a day, take gulkand made up of pink rose and honey , 1teaspun twice a day