Hi! You need to get a review by a surgeon for proctoscopy and per rental examination and any parasitic infection needs to be differentiated by the hemmoroids and other causes of local inflammation and treatment will vary accordingly. Meanwhile keep yourself constipation free and you can use OTC analgesics like acetaminophen for pain control. Press thanks before leaving as token of regard.

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Brief Answer:
It is more likely to be infectious than hemmorhoids

Detailed Answer:
Hi! Welcome to health care magic!

Based on the picture and history you have shared, it is less likely to be hemorrhoids or any other abnormality. Ideally you should consult a dermatologist and he may ask you for swab and scotch tape test for culture and microscopy from the lesion. For itching he may prescribe you oral antihistamines and for topical applications prophylactic antibiotic and antifungal cream may be given until the reports arrive to conform whither it is fungal, parasitic or bacterial infection. Avoid constipation with the use of stool softeners to avoid strain or pain while defections. You can even use glycerine suppositories for that purpose. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.

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