Welcome to HEALTHCARE MAGIC..
I have gone through your query and can understand your concerns..
As per your complain red painful anus along with blood on wiping and pain on sitting can b most probably due to causes like:
2.Hemorrhoids or Piles..
-Anal fissures occurs due to a small cut or tear in the anus and extend up the anal canal..
It can occur due to causes like very hard stools and pressure applied to pass the stools can cause tear of the specialized mucosa of the anus known as Anoderm..
Other causes can be excessive diarrhea, putting an anal thermometer or endoscope etc in the anus..
It can also occur post childbirth..
-Hemorrhoids are inflamed and swollen veins that are formed when there is continuous irritation of the veins present in the rectum area and inflammation can lead to pain and bleeding during bowel evacuation..
I would therefore suggest you to consult an Anorectal surgeon or a Proctologist
and get evaluated as the exact cause of the fissure needs to be ruled out and treated accordingly to prevent further increase in symptoms and treatment of cause can relieve..
He can investigate clinically as well he can advise you a Anoscopy for confimation of cause..
He can advise you treatment that will relieve the underlying cause as well as treat you to relieve the fissure..
You can be advised to apply topical anaesthetics like Lignocaine gel..Calcium channel blocker
containing ointments like Diltizem can be advised as it will dilate the blood vessels in the area and improve blood flow that will initiate healing..
You can be advised to take stool softeners like Docusate and increase fibre intake that will also smoothen the stool like Psyllium and methylcellulose..
You can also do Sitz bath by sitting in a tub of warm water 2 to 3 times a day especially after bowels..
You can also take painkillers like Ibuprofen if there is pain..
In case of no resolution surgical treatment
can be advised.
In case if piles is confirmed then you can be advised:
-Application of steroid and numbing ointment..
-Sitz bath that is sitting in warm water tub especially after bowels....
-High fibre diet along with laxatives like Polyethylene glycol
and stool softeners like Docusate to maintain proper bowels..
-Avoid spicy food and drink plenty of water..
-In case of no improvement with medical treatment you can be advised surgical procedures like Rubber band ligation
or Hemorrhoidectomy that is surgical removal of the hemorrhoids..
Hope this information helps..
Thanks and regards.
Dr.Honey Nandwani Arora.