Sir as u r giving a clear history of surgery earlier at your age avoiding surgery is best hence kindly follow a good diet high fibre diet with plenty of liquids and a bit of walking should definetly help ur condition along with dilzem gel( if u r a cadiac patient with bradycardia
or av block or avf/pulmonarycongestion kindly avoid it)or smuth ointment for perianal application thrice daily. and kindly do a sitz bath with betadine
lotion after defecation .tab daflon
500mg twice daily for 10days should help u.