I have checked the attached photo (attachment removed to protect patient identity). Most probably it is an early degree of piles. Piles is a condition where thecongested veins along with the covering mucosal layer protrude from the anus. It has four degrees, the first three are treated conservatively and the fourth is surgical. It causes pain withdefecationand bleeds sometimes. You have to treat constipation if it is present.
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.. that due to constipation you have developed the pain of the rectum.
Relieve the constipation by taking non-irritative purgative. My favorite is Movicol (Polyethylene glycol) with one glass of water at bedtime for two to three weeks.
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