What you should do: * Do not strain while passing stool * Start a stool softener/laxative (like lactulose or polyethylene glycol) regularly for a few days * Take a high-fiber diet (fruits, vegetables, isabgol) * Drink 2–3 litres of water daily * Warm sitz bath (10–15 mins, 2–3 times daily) to relax the anal muscles * Use local ointment (anesthetic + muscle relaxant) if pain is severe (after doctor consultation) Important: * The tablet you took may give urge, but if stool is very hard, it won’t pass easily without softening * Avoid repeated forceful attempts → this worsens pain and piles

When to see a doctor urgently: * No stool passage for >3–4 days despite treatment * Severe pain or swelling * Vomiting or abdominal distension * Bleeding starts Most cases settle with proper stool softening and local care — but don’t ignore if symptoms persist.