The swelling visible may be because of fissure or because of external piles or some other cause. Depending on whether how much pain do u have, what digestive SYMPTOMS you have.
Fissure piles can be treated very well with medicines.
CONSTIPATION if present has to be treated first as it is the commonest and most important cause.
Next Steps
diet can help SIGNIFICANTLY. plant based diet is amazingly beneficial.
Health Tips
discuss in details.