i can imagine how painful and problematic you are feeling. you were having hemmoroids basically. and 2nd stage of hemorroids is rectal prolapse
i.e falling/sliping of rectum/ anus outside the body. and this occurs only due to strainning defecation (going to toilet). you need surgery to be done by an experience surgeon. using medications will not relieve and only depends on degree of prolapse. i hope you are getting me. surgeon will suture wall of rectum inside your body under anesthesia
. along with this at this time you can prevent this by drinking glas of milk in morning and at night. remember milk should be natural not factory packed on any other product. using fresh natural milk in your diet will relieve symptoms more.
thank you. take care. :)