This is more suggestive of an anal fissure with possible early hemorrhoids, not just piles. Pain during stool passage with itching indicates a small tear in anal mucosa due to strain or irritation.
Next Steps
-Clinical examination by surgeon
-No major tests needed initially
-Lactulose syrup 15 ml at bedtime, daily for 2–3 weeks
-Ointment Nitroglycerin 0.2%, apply locally twice daily for 2 weeks
-Sitz bath (warm water), 10–15 minutes, 2–3 times daily
Health Tips
-Avoid straining during stool
-High fiber diet, fruits, vegetables
-Drink 2–3 liters water daily
-Do not delay urge to pass stool
-Condition is common and treatable, don’t worry
contact me anytime on practo for further consultation