Since the burning and bleeding returned after initial treatment, it is important to see a healthcare professional or gastroenterologist for a proper examination. They can determine if this is due to persistent hemorrhoids, an anal fissure, or another localized issue. In the meantime, gentle home care can help soothe your symptoms. Try taking warm sitz baths for 15 minutes a few times a day, continue using stool softeners, and eat a high-fiber diet with plenty of water to prevent straining. Avoid rubbing the area; instead, gently pat it dry. Please schedule an appointment so we can get you lasting relief.