I have fissure in ano with sentinel piles. I feel like some hemorrhoid is inside and blocking my fecal matter. I am urging a lot to push the stool out. During this time I am having a lot of pain. I used bisacodyl once but I do not feel it good using it on regular basis. Even after forced defecation there is severe pain. I feel my stool consistency is not too hard but hemorrhoid is blocking the stool and causing a lot of pain and I have to urge alot. What can I do to prevent that urge and pain.