Let her sit in a tub of lukewarm water three times a day. Take a laxative at bedtime. Consider a physical exam by a surgeon of the pain is severe.

Is she having hard stool (constipation)? If yes, then use stool softener like Syr. Looz 15-20ml before sleep Ask her to do Sitz bath with lukewarm water (take warm water in a tub and sit in it) 3-4times daily Apply Anobliss or Anomed-L Ointment instead of Anometrogyl after every Sitz bath and before defecation Though giving the above advice, I would appreciate if clinical examination is done by a Surgeon or proctologist.

Most of the issues are due to constipation Take plenty of fluid orally High fiber diet Anobliss ointment Sitz bath thrice daily

Right now at this stage give only paracetamol for pain because she is near her due date I suppose And for swelling sitz bath is best