Well its grade 2 haemorrhoid occurs mainly due to prolong constipation and poor dierary habits .

Pain while sitting accompanied by bleeding during or after passing stool commonly points to an anal fissure (a small tear in the lining of the anal canal) or hemorrhoids (piles). When an anal fissure becomes chronic, a small, fleshy bump known as a sentinel pile or skin tag often forms at the outer edge of the tear. Accurate diagnosis requires a physical clinical examination, Common Supportive Measures:-- Increase Dietary Fiber Stay Hydrated Warm Sitz Baths Avoid Straining Gentle Hygiene Schedule an in-person consultation with a general surgeon or proctologist for a proper physical examination advice and management.

Well you seem to have been passing hard stools because of which multiple cuts because of pressure has healed with skin tags You have chronic fissure

It’s looking like skin tag (sentinel pile) which occurs due to fissure and not pile .Anal fissure occurs due to passing hard stool or straining while passing stool. Get examined by general surgeon and surgeon will advise further treatment like ointment and Sitz bath , if you have constipation then use syrup for that as advised by doctor

Allocate cream after passing stool Duphalac 2 TSF at night time Finally it need surgery

Seems like an anal fissure  or it can also be an underline hemorrhoid. For now you can have some lifestyle changes -!that is increased dietary fiber , do not sit  for long  on the commode and have liberal 4-6 L of water everyday.