HELLO, IF STOOL IS HARD EVERY TIME IT DAMAGE THE ANAL MUCOSA INNER LINE IE FISSURE IN ANO. N WHEN BLOOD COMES OUT IS PILLS. SO STOOL SOFTENER LIKE CREMAFIN PINK THREE TEASPOON FUL AT NIGHT TILL YOUR BOWEL MOVEMENT IS NORMAL. HIGH FIBROUS DIET. PLENTY OF LIQUIDS. TWO BOWL OF SALAD TWO-TIME A DAY BEFORE LUNCH AND DINNER. LIGHT DIET WITH LEAST OIL AND SPICES. XYLOCAIN GEL TO BE APPLIED LOCALLY INSIDE ANUS WITH FINGER ALL AROUND PROPERLY BEFORE STOOL. AFTER DEFICATION WASH IT THAN APPLY LOCALLY OINTMENT PROCTOCEDIL BY FINGER AS MENTIONED ABOVE PROPERLY AFTER DEFICATION. BOTH TWO-TIMES A DAY FOR SEVEN TO TEN DAYS OR TILL IT HEEL. O.K BYE.