Male 39 here, have Read few threads here and thought I can get some help here.
So I have had these problems since 2011 but they were always temporary. They were painful bumps or pimple like structures causing pain and not allowing me to sit for even five minutes. I researched online and it was Vicks vaporub that helped me often.
These things used to come in multiple numbers, usually 2-3 at a time. But, back in 2014 one of them decided to stick with me till date

Having lived with it for so many years, I decided to see a GP who then referred me to a specialist. He said its an Anal Fissure and asked me to take stool softeners (Ducolax I think) and gave a cream. This cream gave me headaches and nausea like feeling so I stopped using it after a week. The Doctor said that if it does not help then I'll have to go for a surgery.
Sometimes I feel that this is not a big problem because I don't feel anything. But at times it becomes a serious issue. I don't get blood in my stools but I do on the toilet paper. It's worse after drinking alcohol because I think alcohol dehydrates your body. The worst happens during hot days when I wear jeans. There's no pain but its very itchy & uncomfortable at times.
Can someone help me with this? I have heard horror stories with regards to surgeries so I don't want to have one.
Thank You in Advance :)