I ve always had hemorrhoids since 2013. It would always swell up after about 48 hours post anal sex, but would always subside. Two weeks ago I had anal sex. As expected, my dormant hemorrhoids swelled up after a week, only this time it was really excruciating and made it hard to pass stools. Fast forward to 4 days ago, my stools became bloody, passing them was even more painful, so much that I really dread taking a dump now because I know it starts and ends with drops of blood, bloody stool between. The perianal pain is quite excruciating that it keeps me up at bedtime, so much that I had to cry myself to sleep two nights ago. I am hesitant to take any strong pain killer (aleve, norco) as I ve read they have major interactions with atripla (my hiv medication). I am really lost here. Can you give me an idea of what I might be suffering from? Thank you...