Suggest Treatment For Anal Pain While Passing Stools

Hi doctor, my mom stayed in a town and there is no gastroenterology surgeon. She suffers from piles but I m not sure. She gets lot of pain while doing motion. She says she has got wound around anus which pains a lot. Actually, these days she gets severe pain. She is taking some Ayurvedic medicine and fruit like orange, banana, apple. She has stopped taking any spicy food and anyway she never used to prepare spicy food but she used to ate always all the left cooked vegetables as not to waste anymore. I wondered about how does she got this but anyway now. I ve suggested her to take livoluk fiber three spoon mixed with water just before bedtime. Could you please suggest what step to be taken next and how it can be cured? Waiting for right suggestion! Regards, Nikhil Gupta