33oldman healthy, not on meds, has rectal pain, feels like he always sit on something, for 5mon. Tried hemmor. Creams and supp for 2mon slight relief, hurts more in mid day while walk, sitting, no constipat?

Sounds like. Possibly an anal fissure. Best to see a colon and rectal surgeon to confirm and offer appropriate treatment.
See your doctor. Please see your doctor for a complete history and physical. After that h&p, further evaluation with appropriate lab tests (including urinalysis) and perhaps a consultation with a general surgeon or gastroenterologist may be required. To make a final diagnosis, lower endoscopy or anoscopy may be helpful.