HELLO, CONSULT A GENERAL SURGEON. LOCALLY APPLY XYLOCAIN GEL TO THE OPENING N INNER RECTAL MUCOSA ONCDE PROPERLY.BEFORE STOOL TWO TIMES MORNING N EVENING. AFTER DEFICATION N WASH STAND UP QUICKLY SO AS TO MINIMAL BLOOD LOSS. TAKE OINTMENT PROCTOCEDIL ON FINGER SIT DOWN AND APPLY LOCALLY AS MENTIONED ABOVE.TWO-TIMES. STOOL SOFTENER LIKE CREMAFIN PINK THREE TEASPOON FUL AT NIGHT TILL STOOL COMES SOFT. O.K BYE.