Hello, You are suffering from external piles, it is bleeding and very painful. To get relief, you are suggested to take sitz bath 3-4 times daily. It will help to reduce much inflammation and pain. You should take pain relieving medicines like Combiflam or Naproxen, one SOS when needed. Cold compression is very helpful. Do not strain while passing stool. Prefer to take semi solid or liquid diet for a couple of days to avoid hurting the affected area. You can apply Anusol ointment to help shrink piles, reduce discomfort and itching. Take fiber rich diet, stay well hydrated. Get examined by a surgeon / GP, you may require treatment by sclerotherapy, laser or infrared coagulation, etc. Avoid taking food that may trigger the symptoms like processed food, white bread, meat, dairy products like milk, cheese, ice cream, etc. You are suggested to avoid sex, anal sex or any type of sexual activity for a couple of days. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician