Your symptoms suggest that you may have developed an anal fissure, which is a small tear often triggered by hard stools or trauma such as vigorous wiping. Try to keep your stools soft by drinking plenty of water and eating more fibre, and use warm sitz baths or a gentle topical anaesthetic cream to ease the discomfort. If the pain does not resolve in a few days or you notice bleeding, see a doctor for proper advice and treatment.

Your symptoms may indicate an anal fissure that has not healed yet, which is why the discomfort continues despite your current treatment. For quicker relief, keep your stools soft with fibre and fluids, take warm sitz baths, and use prescription ointments such as diltiazem or glyceryl trinitrate to relax the anal muscle. If the pain persists, consult a doctor or specialist to rule out other underlying causes and to receive appropriate treatment.

For piles lasting three months, treatment includes using topical creams or suppositories containing mild steroids or local anaesthetics to reduce pain and swelling, taking sitz baths, increasing fibre and fluid intake to soften stools and reduce straining. If symptoms persist despite these measures, your doctor may suggest procedures such as rubber band ligation, sclerotherapy, or minor surgery to remove the piles.

Bleeding from piles is often caused by straining and hard stools, so try to eat more fibre, drink plenty of water, and avoid prolonged straining during bowel movements. Warm sitz baths and short-term use of over-the-counter creams or suppositories containing steroids can soothe swelling and help stop the bleeding. If the bleeding persists or worsens, please see a doctor for proper assessment and treatment.

For an anal fissure with bleeding, treatment usually includes stool softeners, a high fibre diet, plenty of fluids, and warm sitz baths to reduce pain and promote healing. A doctor may prescribe topical medicines, such as lignocaine or nitroglycerin ointment, to relieve pain and improve blood flow. If bleeding or pain continues, consult a doctor to rule out other serious causes and receive appropriate treatment.