How does anus fall when defecate bilge painful return a responsibility

The doctor replied:

how long has it been since the anus fell, swollen and painful when defecating? Is there anything coming out? First of all, we should consider the possibility of hemorrhoids and anal fissure. We can fumigate and wash the affected area with hot water, and then externally use hemorrhoid suppository or Hemorrhoid Ointment to alleviate symptoms