At this level
You'll need surgical procedure to get full relief.
Laser surgery is painless and scar less with only 2 day rest required. From 3 rd you can join your work. Consult for details, we can arrange best surgery at your nearest hospital.
For partial relief
Take lactulose 15 ml 2-3 times per day.
Take some easily available probiotic or curd on daily basis.
Take good amount of fibers and salads.
Apply ointment piloroute for local application
And do sitz bath with betadine soln.
Next Steps
avoid constipation at all cost.
make stool soft for 10-15 days.
consult for further detail