Your history is suggestive of thrombosed external haemorrhoids which are extremely painful.
Next Steps
start tab daflon 1000mg three times daily for 4days then tab daflon 1000mg twice daily for 3days then continue tab daflon 1000mg once daily for 1 month. start tab signoflam one tab twice daily for 10days to reduce swelling and pain. apply anometrogyl ointment or cremagel h ointment locally .take stool softener syrup lactihep 3tsf daily at night
Health Tips
sitz baths high fiber diet plenty of liquids orally and regular exercise wd help you