Hello,
Welcome to HCM,
Hemorrhoid is unlikely to cause pain unless complicated by thrombosis(clotting of blood). The cause of your symptom is likely to be
anal fissure, which is a small ulceration at anal opening.
Exact diagnosis will depend on clinical examination.In the meanwhile I would suggest you the following
1. Drink plenty of water everyday- It will help by mixing with the fiber of diet and give bulk to the stools so that they are well formed and soft.
2. High Fiber diet- Vegetable salad and Fruits especially citrus fruits.
3. Avoid Diet causing constipation- Especially those food stuffs containing refined flour like cakes, bread, biscuits, cookies
4. Hot Seitz bath: Add a handful of common table salt in a tub of lukewarm water and immerse the bottom by sitting in it. Every such session should last for 15 to 20 minutes. Two such session a day, one in the morning and one before retiring to bed at night.
5. Local application of local
anesthetic ointment like
Xylocaine will help in relief of pain. Apply it 15- 20 minutes prior to every bowel movements and also before retiring to bed.
6. Nifedepine Ointment: Local application of it will relieve the spasm of internal sphincter and help accelerate fissure healing.
Most of the patients have benefited from this by following it and making it the part of their lifestyle especially water intake and high fiber diet.
Thank you.