Need physical examination and proctoscopy,get a surgical opinion,looks like external piles secondary to hard stool and constipation.
Next Steps
Annovate ointment local application 3-4 times day,lactifibre powder 2tsf at night with luke warm water,seitz bath in warm water twice daily,tab flexon twice daily
Health Tips
Exercise,walking,more diet fibres,more liquid food,avoid hard stool and straining during defecation