I'm a healthy 28 yo white male with no history

Patient

Q: I'm a healthy 28 yo white male with no history of any diseases in my family. I had a bowel movement around 3 pm today. It's was a hard stool and I strained quite a bit. About 30 min later a sharp "knife" like pain began to occur on or in or around my anus. It's 1030 and the pain is still very much there. On a scale of 1-10 I say 71/2. I've used preparation H and neosporin. There are no external hemmeroids. PLEASE what is wrong and what can I do?

Doctor

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