You need immediate surgical attention.. Consult nearest surgeon for clinical examination as treatment depends upon clinical grading The following is a quick summary of treatment for internal hemorrhoids by grade: Grade 1 hemorrhoids are treated with conservative medical therapy and avoidance of nonsteroidal anti-inflammatory drugs and spicy or fatty foods Grade 2 or 3 hemorrhoids are initially treated with nonsurgical procedures Very symptomatic grade 3 and grade 4 hemorrhoids are best treated with surgical hemorrhoidectomy Treatment of grade 4 internal hemorrhoids requires prompt surgical consultation..

hi your history is not clear kindly come with good clinical complaints without any hesitation. as for my opinion with the above details it might be Fissures or external Hemorrhoides. you dint mentioned about weather pain agravation after passing stools, your stool color after passing. regarding your life style and diet so Now im suggesting some Treatment for Symptomatic Relief Tab Styptovit K Twice A day for 3 days. Oint proctocedyl M apply locally around The area twice daily detailed history will make us to solve your issue to the roots. take care

Hello there. I can understand your concern. It could be a case of hemorrhoids or fissure. A clinical examination and further history would be needed in case to determime the exact cause. Have a high fiber food. Drink lots of water. Apply smuth gel around and in the area as directed on the pack. Have one cup of curd everydag and when in pain, you can do sitz bath. Consult a general surgeon in person for further management. Best regards. Dr. Anil kumar jain.