hi i had gone through your query and understand your concerns. i would come up with the possibility of EXTERNAL HEMORRHOIDS. constipation and straining at stool may be the cause. pregnancy is often factor. may be from tension and stress which cause constriction in the anal canal. treatment plan; i advise you taking Homeopathic medicines gives safe and permanent cure for your complaints without any surgery along with management. management include; 1.Prevention by lifestyle modification Some simple lifestyle modifications can help one, prevent and even cure piles. A softer stool and regular bowel movements are its main goals. A softer stool makes emptying the bowels easier and lessens the pressure on hemorrhoids caused by straining. Increasing fluid intake Increasing fluid intake can help in reducing the hardness of the stools. Drinking six to eight glasses of fluid (not alcohol) results in softer, bulkier stools. 3.High-fiber diet Good sources of fiber are fruits, vegetables and whole grains. In addition, a fiber supplement such as psyllium can be very helpful. 4.Do not hold the urge Prevent holding the urge, as it can lead to irregular bowel movement and also hardening of the stools. 5.Regular exercise Regular exercise, including walking, can be very effective in regulating your digestive system. treatment; A combination lifestyle changes and homeopathic treatment can be a great relief to a person suffering from piles, as it eliminates the possibility of surgery. Moreover, a thorough homeopathic treatment can remove the tendency and thereby prevent its recurrence. consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints. or mail me at drravib4u@yahoo.co.in wishing you good health