It could be anal fissure. Doctor will prescribe laxatives for you first and if not better, you need to go to the colorectal surgeon for corrective surgery. An anal fissure is a small cut or tear in the skin lining the anus. Childbirth, straining during bowel movements, or bouts of constipation or diarrhea can all tear the anal lining. Anal fissures are usually not a cause for concern and most heal without any medical treatment. However, those resistant to treatment may require surgery. http://www.healthline.com/health/anal-fissure#Overview1
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Isn't lactulose for constipation? Would advice you to speak to your doctor about this
thanks