Hello I had gone through your question and I can understand your concern Looking at your history this could be any of these Hemorrhoids fissure in Ano Infected anal gland I would like further information to help you better Your age weight and sex Complete medical history like diabetes or thyroid disorder Since how long you have this problem In my opinion you should consult a general surgeon or proctologist for per rectal examination and a battery of tests to confirm the diagnosis Meanwhile Avoid constipation by taking Laxative or stool softening agents like liquid paraffin. Have fresh fruits and vegetables Avoid fatty fried spicy and junk food Have plenty of fluids Hope this helps you Best wishes Sitz bath Twice daily