Hi..
Welcome to HEALTHCARE MAGIC..
I have gone through your query and can understand your concerns..
As per your complain difficulty in passing stools can be due to hard stools and
constipation and pain and burning while passing stools can be due to anal fissures that is a small tear or cut in the anal mucosa known as anoderm, while can also be due to hemorrhoids or piles..
I would suggest you to
consult a Gastroenterologist and get evaluated and a thorough clinical evaluation and investigations like anoscopy,
sigmoidoscopy can help in diagnosis and treatment can be planned accordingly..
In case of anal fissures you can be advised to apply ointment containing
Calcium channel blocker like Diltizem to improve blood flow in the area and help in healing faster..
You can also be advised to take high fibre diet,
stool softener and laxatives to ease in evacuation of bowel..
You can also be advised to do sitz bath that is sitting in warm water tub especially after bowels..
For hemorrhoids, steroid and numbing ointments, taking high fibre diet, laxatives and stool softeners and sitz bath can help..
You can also be advised surgery like
rubber band ligation, cryotherapy,
sclerotherapy etc for correcting hemorrhoid that does not resolve with medical treatment..
Hope this information helps..
Thanks and regards.
Dr.Honey Nandwani Arora.