Brief Answer:
Can be a fissure or hemorrhoid.

Detailed Answer:

Hello,
Thank you for choosing HealthcareMagic for your query.
I've gone through your details.
I am a Gastroenterologist and would be addressing your concerns.

As per the history given by you most likely cause of your problem is Hemorrhoids. Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated or it can be anal fissure also.Anal fissure is a chronic abnormal communication between the epithelialised surface of the anal canal and the perianal skin,In a lay mans language it is breach of external skin and this breach results in direct communication of your anal canal with external enviroment and pathogens.
Suggestion
Go for proctoscopic examination of anal canal by a surgeon.
A physical examination aling woth proctoscopy is very important.

Rx


Oral flavonoids: These venotonic agents were first described in the treatment of chronic venous insufficiency and edema. They appeared to be capable of increasing vascular tone, reducing venous capacity, decreasing capillary permeability, and facilitating lymphatic drainage as well as having anti-inflammatory effects.
start using Prepration H (a combination containing contains Calcium Dobesilate, Hyd was demonstrated that calcium dobesilate decreased capillary permeability, inhibited platelet aggregation and improved blood viscosity; thus resulting in reduction of tissue edema.
rocortisone, Lignocaine, and Zinc.) locally .

Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.Take it 2 tsf twice daily with half cup of XXXXXXX warm milk.
Discuss options with your general surgeon.
Thanks!

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