Plz suggest. Please suggest wht to do?

Hi, Plz suggest do I need surgery or can cure by medicine. I have constipation problem for last 8-9 years. 3-4 months back i was suffering from pain during stool and recovered by ayurvedic medicine. 15-20 days back again I was suffering from same issue and visited a gastroenterology doctor who suggested me for colonoscopy and report I have attached. Though I was under anesthesia during colonoscopy procedure but I felt thrust in anus and after the procedure I felt severe pain. When touched my anus I found blood and doctor suggested me to rub some ointment. After colonoscopy I found extremely difficult to pop as my pain is doubled may b for some internal cut during procedure. Doctor prescribed me - Sitcom tablet 3 times, NEOPRIDE 2 times, mom plus suspension syrup , PRUVICT 1, anovate ointment and sit bath. It's been 1.5 days I can't pop due to extreme pain after colonoscopy and stool is now become very hard. Please suggest wht to do ?