HELLO,   WHEN EVER YOU HAVE HARD STOOL IT BLEED AS YOU ARE HAVING PILES. SO STOOL SOFTNER IS NEEDED. ADVISE:- BLED DIET, OCCASIONALLY YOU MAY HAVE NORMAL DIET ONCE IN A WHILE.   SALAD BIG BOWL TWO-TIME A DAY. PLNTY OF LIQUID. NO SPICY FRIED JUNK FOOD OR FOOD FROM OUTSIDE. ADD FRESH CURD AND BUTTER MILK INSTEAD OF MILK IN DIET. REGULARITY IN FOOD HABIT. ISABGOL HUSK TWO TIMES A DAY WITH WATER.THREE TEASPOON FUL. IT'S A STOOL SOFTNAR AND HERAL NO SIDE EFFECTS. OR CREMAFIN PINK TWO TEASPOON FUL WHEN EVER YOU HAVE HARD STOOL. XYLOCAIN GEL TO BE APPLY LOCALLY WITH FINGER FIRST AT ANUS THAN SMOOTHLY INSIDE ANUS ALL AROUND IT DECREASE THE PAIN DURING DEFICATION. CONSULT A GENERAL SURGEON. LASTLY YOU HAVE TO GO FOR SURGERY. STILL YOU HAVE TO CARE FOR ABOVE MENTIONED POINTS. O.K, BYE.