Kevin is а 38 yeаr оld whо presents with the chief cоmplаint of pain in the rectal area, especially after defecating. He states that he can feel a "bump" on his rectum. He also says that he is very itchy in the rectal area. He states he has had increased constipation due to recent travel. The nurse practitioner assesses the anal area visually (see picture). Which of the following would be the initial treatment recommendation for this patient?