Due to continuous constipation you may be having inflammation or some other pathology around anus which is also contributing to constipation. You should consult some nearby surgeon who will examine & advice appropriate solution. After examining when decided about the issue it probably can be treated conservatively without recourse to surgery also.

I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. Pl consult me on Practo , so that I can help you better.book a time slot as per your convenience for consultation.

High fiber diet palanty of fluid cramaffin syrup

Can help you, kindly provide me detailed history for proper diagnosis and further management

Any lactulose syrup can help if there is short history of it. Don't apply pressure while defecating as it may lead to tear of anal mucosa. Consult if and when needed.

High fibre diet with plenty of fluids may be beneficial

Kindly consult

You have to take enough water and roughage in your diet . You also should take about half an hour walk in the morning and evening. You should also take some laxatives like Dulcoflex or Isabgol husks with water. If you still have pain you can apply Anovate ointment in the region of anus about half an hour before going to the toilet.

High fiber diets Isabgol Cremaffin Will solve the problem

Take duphalac syrup