Hemorrhoid. Or any treatment?

Hello.. There is chance of recurrence of piles or fissure in pregnancy and post pregnancy periods due to harmonal changes in the body.. Based on your symptoms, it must be grade 2 hemorroids along with anal fissure..

Get one clinical examination by general surgeon / coloproctologyst

1) As you can feel the swollen lump, take sitz bath with warm water adding rocksalt.. this helps in reducing the edema and further discomfort.. 2) Take high fibre diet + plenty of oral fluids (~ 3 to 4 lit/ day ) to prevent constipation and hard stools..

Based on your history, your symptoms are most likely due to hemorrhoids, but an anal fissure should also be considered, especially as you have a burning sensation during bowel movements. Bright red bleeding with stool is commonly seen with both conditions. A low-fiber or restrictive diet may also contribute to constipation and worsen these symptoms. As the bleeding has recurred after a long interval and you have a palpable swelling, a clinical examination by a general surgeon or colorectal surgeon is recommended to confirm the diagnosis and rule out other causes of rectal bleeding. Initial treatment usually includes increasing dietary fiber and fluid intake, avoiding straining during bowel movements, warm sitz baths, and topical medications as advised after examination. If hemorrhoids are advanced or symptoms persist despite medical treatment, office procedures or surgery may be considered.

--Consult a general surgeon/colorectal surgeon for a local examination. --Increase fiber and fluid intake, and avoid constipation and straining. --Continue warm sitz baths for symptomatic relief.

--Do not ignore recurrent rectal bleeding, even if you have a history of hemorrhoids. --Avoid prolonged sitting on the toilet. --Seek urgent medical attention if bleeding becomes heavy, you feel dizzy, develop severe pain, or notice black-colored stools.