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hello, if stool is hard than also blood comes due to damagedmucosa beginning of piles FISSURE in ano.before stool locally apply anovate oint with finger first on but hole than gentaly push inside the anal cannal n APPLY LOCALLY all around properly so MUCOSA healstwo times a day for two weeks. use stool softener cremafine pink three tsf at night till stool becomes soft. Ok avoid spicy fried greasy junk food or food from outside. It's recurrence rate is high. Ok.