Please visit a general surgeon for confirmation of diagnosis and plan of management . The symptoms you have described suggest anal fissure and not piles . However , The surgeon would perform a per-rectal examination and proctoscopy to confirm the diagnosis and suggest the further line of management . Both Surgical and non-Surgical treatment options are available but depends upon the severity of the disease. Hence first step should be to visit a general surgeon and get examined by him/her **For complete evaluation and treatment, Kindly visit the doctor in person with all available reports. *This is just an preliminary opinion not to be used for medico-legal purpose. Dr Sandeep K Jha Gastrointestinal and Liver Transplant Surgeon DNB(Surgical Gastroenterology) MS( General Surgery), MBBS FMAS+DMAS ( Minimal Access Surgery) *9*9*9*9*9*8*4*3*7*3