Hi. Blood in the stools with pain are not necessarily hemorrhoids. Hence you need not worry much about it. It may be an acute problem secondary to fissure or passage of hard stools. Try hot sit baths for better control of pain and inflammation. Drink plenty of water and fibrous diet in the form of vegetables and fruits can aid in softening the stools. Continue using the laxatives and local anaesthetic
creams. I can say only this from here.
If the symptoms are remaining the same, consider getting a per rectal examination
done to assess condition and the further treatment will be decided based on the examination findings. Get back to us, with the examination findings...