Prolapsed Piles, Sharp Pain & Bleeding.

"I have a long-term history (6-7 years) of a prolapsed internal lump (piles) that I manually push back inside after bowel movements and used to cause no pain before. Two weeks ago, I accidentally scratched the lump area while washing, which caused a sharp 8/10 pain. Since then, pooping has been very painful. But i included proper fiber and water in my daiky intake and managed to bring the pain to 1-2/10 with almost no to minimal prolapse coming out after pooping .But yesterday , I have been fasting for Ekadashi (no grains, no salt, low water intake) and i think it caused the issue. This morning, I passed a very hard stool. I saw bright red blood on the stool and a drop of blood fell after I finished. The pain is very sharp(7-8/10) and localized to the scratch/tear area I am not on my period and the blood was bright red."