Hi..
Welcome to HEALTHCARE MAGIC..
I have gone through your query and can understand your concerns..
As per your complain burning pain and discomfort while straining along with a history of having haemorrhoids can be due to inflammation of the and haemorrhoids due to straining and burning pain in scrotum seems to be
radiating pain from the haemorrhoids..
I would suggest you to
consult a Proctologist and get evaluated and a thorough clinical evaluation and investigations like anoscopy can help in diagnosis and treatment can be planned accordingly..
You can be advised to apply steroid ointment and numbing gels like Lignocaine over the haemorrhoid and anal region..
You can be advised to take laxatives and stool softeners like Docusate as it will help in easing evacuation and avoid pain..
You should also avid spicy food..
Drink pelnty of water and take a high fibre diet as fibres also tend to smoothen the stools..
You should sit in warm water tub 2 to 3 times a day also known as Sitz bath..
Do cool compresses at the anal region to reduce inflammation..
You can also go for surgical treatments like
Rubber band ligation,
sclerotherapy and
cryotherapy..
Hope this information helps..
Thanks and regards.
Dr.Honey Nandwani Arora.