HELLO, CONSULT A GENERAL SURGEON. YES, YOU MAY BE WORRIED, AS IT SEEMS TO BE A EXTERNAL PILLS. STOOL MUST BE SOFT, OTHERWISE BLOOD AS WELL AS PAIN INCREASED. SO TWO BOWL OF SALAD TWO-TIME A DAY BEFORE LUNCH AND DINNER. AVOID SPICY FRIED JUNK FOOD OR FOOD FROM OUTSIDE. LIGHT DIET. PLENTY OF LIQUIDS. STOOL SOFTENER LIKE MILK OF MAGNESIA THREE TEASPOON FULL AT NIGHT TILL BOWEL MOVEMENTS ARE PROPER. OINTMENT PROCTOCEDIL LOCALLY  WITH FINGER  PROPERLY INSIDE ALL AROUND ANAL MUCOSA AFTER FRESHEN UP AND WASH OUT.TWO TIMES A DAY. I HOPE YOU UNDERSTAND THIS. O.K BYE.