Hi, There can be many reasons for the anal spam depending on your medical history. You should try following general treatment for a week Dashmooladi kwath 10 ml early morning empty stomach. Avoid food for 30 mins after taking the medicine. Ashwagandharishta 10 ml 30 mins before meals. Triphala churna 1 tsp before bed at night with normal/warm water. You might get immense benefit from anal basti(panchkarma for anus). Refer to nearest panchkarma centre. Hope this helps!