Probably surgery: If you are seeing "edematous mucosa" then it is falling out and will need to be removed or sutured back in place. "mucosa" describes the lining of the rectum that should be well up inside the anus and not visible to you. If it is being seen with an anoscope it still suggests some type of injury, probably from prolapsing (falling down) into the sphincters. Hemorrhoid banding might work.
Answered 5/9/2018
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