The reason for this type of bleeding generally is piles. Constipation
attributes a lot to pile. Pain and itching can be due to inflammation and patient avoids defacation because ofpain itself.
so avoid spicy and fast food and constipating agents. Ayurveda recommends
Panch sakar churan half tsf
tab. punarnava guggul 1 tds
tab. Ayapon [ alarsin ] 2 tds with hot water
locally you can apply Arsh Hita oint.