Frequent anal swelling is commonly caused by hemorrhoids. The topical cream you are using, which contains oxerutins, is highly effective for providing localized relief from pain and inflammation. However, for recurring symptoms, creams alone may not be sufficient. Depending on the severity, your doctor might recommend combining it with oral venotonic tablets, which help strengthen blood vessels from within, or stool softeners to prevent straining. To support your healing, focus on a high-fiber diet, stay well-hydrated, and avoid sitting for long periods. Please consult your doctor for a physical examination to determine if oral tablets are necessary for your specific recovery.