HELLO, IT'S A OUWARTED PILLS. WHEN EVER YOU HAVE HARD STOOL, YOU ARE IN TROUBLE. MILK OF MAGNESIA THREE TEASPOON FUL AT NIGHT A SAFE STOOL SOFTENER. OR CREMAFIN PINK TWO OR THREE TEASPOON FUL AT NIGHT. CONTINUE FOR THREE FOUR DAYS AS TO REGULARIZE YOUR BOWEL MOVEMENT.   WHEN EVER YOU GO FOR BIZZAREY PATTERN, YOU ARE IN TROUBLE. TREATMENT:- PARMANENT SOLUTION IS SURGERY OR YOU CAN SAY SEMIPARMANENT AS RECURRENCE RATE IS THEIR. XYLOCAIN GEL APPLY LOCALLY OVER ANUS N BOIL WAIT FOR ONE MINUTE THAN FILL  OINTMENT IN YOUR FINGER AND INSERT IN ANUS ALL AROUND PROPERLY BEFORE STOOL. AFTER THAT WHEN STOOL IS OVER, CLEAN UP AND STAND UP FOR ONE MINUTE OR MORE.THAN APPLY LOCALLY PROCTOCEDIL OINTMENT INSIDE ANAL CALAN AS DEMONSTRATED EARLIER. REPEAT THIS FOR TWO TIMES. TABLET SIGMOFLAM TWO TIMES A DAY AFTER LUNCH AND DINNER OR AS REQUIRED. IT MAY GIVE YOU RELIEF. NO PAIN IS THEIR. O.K. BYE.