Hello i am Dr BirmaRam Hudda answering your question i can understand your concern and i will help you in best possible way Looking at history this could be any of following fissure in Ano infected anal gland hemorrhoids very less chances of herpes if you can upload me a complete medical history like history of constipation or anal sex in my opinion you should consult a general surgeon for examination and battery of tests like blood for hemoglobin CBC liver function test blood sugar avoid constipation by taking liquid paraffin and dietary fibers Anaesthetic ointment like lignocaine to be applied locally sitz bath daily please feel free to ask for more clarification best wishes