Severe pain after passing stool.

The symptoms you describe are suggestive of an anal fissure (a small tear in the skin around the anal opening), which can be quite painful. Take a warm sitz bath by sitting in comfortably warm water for 10–15 minutes, 2–3 times a day, especially after passing stools. Apply a suitable topical ointment for pain relief as advised. A laxative/stool softener syrup may be taken for a few days to keep the stools soft. Increase your fibre intake and water consumption to prevent constipation and straining.

If symptoms persist, worsen, or there is significant bleeding, please consult a surgeon for an examination.

Your condition strongly aligns with an anal fissure. Because your symptoms have lasted for 25 days and involve dark-red blood, it is very important to consult a general surgeon or a gastroenterologist for a proper diagnosis. While the hard stools explain the likelihood of a fissure, dark-red blood—as opposed to bright red streaks—warrants a professional medical evaluation to completely rule out other conditions higher up in the digestive tract. You can use-Stool Softeners or Osmotic Laxatives, Ointments containing local anesthetics like Lidocaine, Take Warm Sitz Baths, Do not strain, push, or sit on the toilet for extended periods. However please consult a general surgeon or a gastroenterologist for a proper diagnosis.

Symptoms described correspond to fissure in ano. Sitting in lukewarm water with your anal region dipped inside that for 10-15 mins twice daily along with ointment for local applications will help. Bit first visit a general surgeon, sometimes assumptions lead to wrong treatment. A good physical examination will help.

Visit a general surgeon

Drink plenty of water/liquids (2-2.5l) per day to avoid constipation. Have some laxatives to ease that for the time being; movicol, lactulose etc can help. Take surgeon consultation in person before starting

According to the history.. it could be anal fissure. It's tear around anal region which heals with medication generally. Though haemorrhoids could also causes bleeding. And both can occur simultaneously.

kindly take general surgery consultation.

meanwhile you can avoid spicy food eat green leafy vegetable based diet...and take hot sitz bath.

Based on your symptoms, you are most likely suffering from an acute anal fissure. An anal fissure is a small tear in the lining of the anal canal, commonly caused by passing hard stools. The typical symptoms include: 1. Severe cutting or burning pain during defecation. 2. Pain continuing for several hours after passing stools due to anal sphincter spasm. 3. Bleeding during defecation. 4. Constipation and fear of passing stools because of pain. Your symptoms are more suggestive of an anal fissure than hemorrhoids (piles). However, a physical examination is necessary to confirm the diagnosis. My recommendations: 1. Warm sitz bath: Sit in comfortably warm water for 10–15 minutes, 2–3 times daily, especially after passing stools. This helps relieve pain and sphincter spasm. 2. Stool softeners: Lactulose or polyethylene glycol may be prescribed to soften stools and prevent further injury. 3. Local ointment: Diltiazem 2% ointment or nifedipine ointment may be prescribed after examination to relax the anal sphincter and promote fissure healing. 4. Pain relief: Paracetamol can be used if suitable for you. Topical lignocaine may also provide temporary pain relief. 5. Dietary modification: Increase fibre intake through vegetables, fruits, and whole grains. Drink adequate water and avoid straining during defecation. Most acute anal fissures heal with proper conservative treatment over a few weeks. One important point: You mentioned dark-red bleeding. Fissures typically produce fresh bright-red blood. Therefore, I recommend an in-person examination by a general surgeon or proctologist to confirm the source of bleeding and exclude other causes. If bleeding is heavy, or you develop dizziness, fainting, fever, or severe worsening pain, seek urgent medical attention. I would also like to know: 1. Is the blood present on the toilet paper, on the surface of the stool, or mixed with the stool? 2. Do you feel any swelling or lump near the anus? 3. Have you taken any medication for constipation or anal pain? With appropriate treatment, most acute fissures can be managed without surgery.