Piles or anal fissure. Afterall!

Last October 2024 I started feeling discomfort in my anal while passing stool and after that discomfort in sitting on chair it persisted till 1 week nd then i consulted a doctor and he suggested that its piles issue he didn't physically examine he gave me 5 days antibiotic course nd some pain killers after that pain gone nd i felt a pimple on the topside of anal outside it was small then i told him that he said its normal after that he suggested me 2 months homeopathy medicine course some pilex ointment and tablet two times a day for two month i did the course but in between the course after 1 month the problem reoccured the pimple start paining while touching to apply cream nd passing stool become difficult and this time blood with stool then i again visited him he suggests to stop medicine homeopathy nd suggested me. to consult general surgeon i did nd describe him the issue he said its anal fissure nd give pilosoothe (calcium dobosilate cream)but still pimple issue persists afterall