Granny's gone and done it again

how bad is it? Dont you need to open it up?
It's so painful she can't stand for me to touch it. I'll soak it for a few nights and hope that gives her some relief. I don't see black scabs, it's puffy and squishy. I sprayed some Rx on it that says it's for bf, and I put honey on pads and wrapped them up.
 

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