HELLO, CONSULT A GENERAL SURGEON.   IT IS DUE TO PILLS. WHEN EVER YOU HAVE HARD STOOL OR CONSTIPATION IT  ENHANCES.   SO STOOL SOFTENER LIKE DUPHALAC THREE TEASPOON FUL AT NIGHT TILL YOUR BOWEL MOVEMENT ARE NORMAL. APPLY WITH FINGER XYLOCAIN GEL TO BUTTHOLE THAN INSIDE IN ANAL MUCOSA ALL AROUND BEFORE PASSING STOOL. AFTER DEFICATION WASH VERY FASTN STAND UP, SO LEAST BLOOD LOSS WILL BE THEIR. NOW TAKE OINTMENT PROCTO CEDIL ON FINGER SIT AN APPLY IT ON BUTT HOLE N INSIDE THE ANAL MUCOSA ALL AROUND AS MENTIONED ABOVE. THIS SHOULD BE DONE TWO TIMES A DAY SO EASILY IT HEELS. N NO MORE BLEEDING. I HOPE YOU UNDERSTAND THIS. O.K BYE.