You need to confirm whether it is piles or it is a fishering because of constant pressure on the anus because if it is piles then proper treatment should be carried out and it is very important to take latulose /duphalc ndml should be prescribed by doctor only it can be 5 ml to 10 ml depending upon your diabetes if you are a diabetic having fibre rich foods always helps to defecate properly so including more of fruits such as watermelon oranges grapes and prunes will help to build the bulk you can also use cucumber tomatoes and cabbage eating a multigrain chapati and brown rice these are the initial measures with drinking 3.5 litre water daily will help to reduce constipation for severe pain you can apply cold packs on the area or sit on a pillow always do not sit on a straight chair this will help reduce the pressure and pain if the bleeding is heavy and UC clotting then I will advise you to see your gynecologist just to check if the bleeding is intestinal

Please visit the doctor, take fibre rich foods,do not strain to pass stool.

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