Swelling around anus

I've been recently experiencing strong irresistible anal itching. Earlier I had constipation and watery mucus anal discharge , now it's fine. But right now, I can find foamy froth on my poop and strong itching. I'm attaching a picture. Can you please tell me by looking at it what is it exactly, hemorrhoids, fissure, fistula or something else. I have an appointment with the doc too for next week. But please suggest me some home remedies for curing it side by side. I take sitz bath daily twice too.
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Dr. Ameet Thakkar
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You need to consult a surgeon who after a thorough physical examination would arrive at a diagnosis.
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