HELLO, CONSULT A GENERAL SURGEON, PLEASE YOU DON'T THINK. WHEN EVER STOOL IS HARD YOU R GOING TO HAVE SUCH PROBLEMS.SO FOR THAT STOOL SOFTNER IS REQUIRED SALAD BIG BOWL TWO-TIME A DAY. FIBROUS DIET. MILK OF MAGNESIA THREE TEASPOON FUL TWO TIMES A DAY SPECIALLY AT NIGHT WITH LUKE WARM WATER. XYLOCAIN GEL TO USE BEFORE N AFTER PASSING STOOL. TAKE GEL ONE FINGER TIP AND PUT IT FIRST AT ANAL OPNING AND GENTALY PUSH IT INSIDE SO AS GEL SPREAD ALL AROUND THE ANUS. STAND UP AFTER A WHILE DURING DEFICATION NO PAIN IS THEIR. AFTER FINISHING WASH IT, AGAIN PUT GEL LIKE AS  MENTIONED WAY. SO NO PAIN AFTER DEFICATION. YOU CAN ALSO USE LIQUID CREMAFIN THREE TEASPOON FUL AT NIGHT. O.K, BYE.