Thanks for all these additional information.
I understand your concern.
I have reviewed your picture.
Well as you describe,it sounds anal fissure and friction induced bumps.
You can try OTC cream or suppository containing hydrocortisone and use pads containing witch hazel or a topical numbing agent.
Apply OTC Bacitracin ointment on affected area twice a day.
Use a sitz bath with warm water.
Keep yourself hydrated with plenty of fluids and eat fibre rich diet and take metamucil .
Avoid alcohol, spicy food, fat rich food.
Avoid straining during Bowel movement.
Avoid long periods of sitting.
Even sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.
Do regular exercises.
Take OTC Motrin and Claritin for few days.
If your symptoms'll persist then see your doctor for further evaluation and management.
Use a moist toilet paper for wiping.
Let me know if you have any further query so we can discuss it thoroughly in every aspect.
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