You should visit a general surgeon and need to get Per rectal examination . If you have constipation that should be treated .

Possibly fissure.Bleeding?

I would advise you to meet a general surgeon who will evaluate you and rule out any underlying condition such as piles, fissure or pilonodal sinus. These steps may be of some help: - Do not strain during bowel movements - Reduce weight as per your idea weight according to your BMI - Eat food rich in fiber and bran based cereals. - Have laxatives for strain to be reduced during bowel movements - Sitting on a donut ring cushions can reduce the pain while sitting.