HELLO, ITS EXTERNAL PILLS. SIETZ BATH TAKE A TUB FILL IT WITH WARM WATER ADD BETADINE SOLUTION TWO TO FOUR LID IN WARM WATER, SIT IN IT TEN MINUTES. TWO TIMES A DAY FOR SEVEN TO TEN DAYS. THIS GIVES YOU RELIEF IN PAIN. TABLET SIGMOFLAM TWO-TIMES A DAY. 00 DUPHALAC TEN ML ONCE AT NIGHT SO STOOL BECOMES SOFT , SO LEAST PAIN DURING DEFICATION. XYLOCAIN GEL TO BE APPLIED LOCALLY BY FINGER AT A ANAL OPNING N FLAPF THAN SLOWLY INSIDE ANUS APPLY PROPERLY ALL AROUND ANAL  MUCOSA BEFORE PASSING STOOL. AFTER DEFICATION WASH IT N STAND QUICKLY SO BLOOD LOSS IS MINIMAL. TAKE OINTMENT PROCTOCEDIL ON FINGER SIT DOWN AND APPLY LOCALLY AS DEMONSTRATED ABOVE PROPERLY INSIDE ANAL MUCOSA. THIS SHOULD BE DONE FOR SEVEN TO TEN DAYS. SO TOTAL HEALING TAKE PLACE. BUT WHEN EVER YOU CONSTIPATED IT STARTS. CONSULT A GENERAL SURGEON. O.K BYE. THESE TWO WILL ALSO APPLIED LOCALLY TWO TIMES