### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my husband has a swollen and inflammed vein under his schrotum to the anus very tender to touchand it just seemed to happen over night but he was doing some heavy liffting that day . he did notice a couple of small blood spots on the bed sheets the next morning. it is very red and very hard to sit down.

### output:

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Hemorrhoids with bleeding spots. The description of red anal vein with difficulty to sit down indicates -either a Strangulated pile after lifting bout last day. This may happen with old internal or internal with -external piles, which got obstructed after heavy lifting forceful acts, which expressed it out of anus and got strangulated thereafter. Remedy and Docusate Bath-with Warm Detail solution. Tab Motrin- 1 x 2 times a day. Mannual Reposition followed by High Ligation / Excision of Internal/External Piles. Check with Surgeon and get anal inspection and examination and if need be photocopy. Get Manual Piles-reposition by self method if possible or get it done with expert hand from Surgeon. Other causes need to be verified as the facts may be different what you submitted. For this Second opinion from Surgeon / Physician is needed who would do proper investigation after proper physical assessment to resolve your health issues.-Plenty of fluids / Change in dietary habits to Bland liquid veg diet x 10 days / and yogurt/butter milk for early recovery-would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!  Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS