• Eat high-fiber foods – fruits, vegetables, whole grains to soften stool.
• Drink plenty of water – at least 2–3 liters daily.
• Use warm sitz baths – sit in warm water for 10–15 minutes, 2–3 times daily to reduce pain and swelling.
• Apply ice packs – short-term cold compress can reduce swelling.
• Use topical creams – like hydrocortisone or lidocaine-based ointments (as prescribed).
• Keep the area clean – gently clean with warm water; avoid harsh soaps or wiping roughly.
• Avoid prolonged sitting on the toilet – this puts pressure on veins.
Your symptoms suggest that conservative treatment may not be enough. To avoid worsening, bleeding, or complications, I advise you to see a surgeon for proper evaluation.
Next Steps
Refer to a surgeon