Hi, It sounds like you may be experiencing symptoms of an anal fissure, which is a tear in the lining of the anus. Anal fissures can cause pain, discomfort, and difficulty with bowel movements. There are several things you can do to help manage the symptoms of an anal fissure and improve your bowel movements: * Increase fiber intake: Eating more fiber can help soften stools and make them easier to pass. Foods high in fiber include fruits, vegetables, whole grains, and legumes. * Drink plenty of fluids: Drinking enough water and other fluids can also help soften stools and prevent constipation. * Use a stool softener: Stool softeners such as docusate sodium can help make bowel movements easier and less painful. * Soak in warm water: Taking a warm bath or sitting in a warm sitz bath can help soothe the area and relieve pain and discomfort. * Apply a topical cream: Over-the-counter creams containing hydrocortisone or lidocaine can help relieve pain and itching. * Avoid straining: Try not to strain when having a bowel movement, as this can make the tear worse. * Avoid spicy or acidic foods: These types of foods can irritate the lining of the anus and make symptoms worse. If your symptoms persist or worsen despite these measures, it s important to see a healthcare provider. They may recommend additional treatments such as prescription creams, muscle relaxants, or surgery in severe cases. It s also important to note that if you notice any changes in the color or consistency of your stool, such as ongoing blood or mucus, or if you experience severe pain or fever, you should seek medical attention right away as these may be signs of a more serious condition. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician