Hello, thanks for writing in. I'm sorry you've been in this much pain for so long.
Your symptoms fit an anal fissure best: a small tear at the anal opening, usually caused by hard stools. The sharp, cutting pain during passing, the burning that lasts for hours afterward, and a small amount of bright red blood are the classic picture. Hemorrhoids (piles) are also common and can bleed, but they are usually less painful, so they're the second possibility. A fissure that has lasted 25 days is on the way to becoming chronic, and the pain itself tightens the muscle, which keeps it from healing. Other causes exist, so it should still be confirmed by examination.
Next Steps
Please get examined in person by a doctor or a proctologist, since only an examination can tell a fissure from piles or something else. Don't ignore the bleeding. See a doctor soon if it increases, if you feel a lump or swelling at the anus, if you have fever or pus, if the stools turn black, or if you have lost weight, are very tired, or have had a change in bowel habits. At 40, bleeding that continues should always be checked properly. Please avoid applying creams or tablets on your own without advice.
Health Tips
- Sit in a tub of warm water for 10 to 15 minutes, 2 to 3 times a day and after each stool, which relaxes the muscle and eases pain
- Drink 2.5 to 3 liters of water a day
- Eat more fiber: fruits (papaya, banana, guava), vegetables, oats, soaked isabgol (psyllium) and soaked raisins or figs
- Add a spoon of ghee or warm milk at night, if it suits you
- Don't strain or sit on the toilet for long, and don't ignore the urge to go
- Walk daily and avoid sitting for long hours
- Limit spicy food, tea, coffee and refined flour
If you're still worried, do book a consult and we can look at it together. Take care.