Conversation: The conversation between human and AI assistant.
[|Human|] hi, i am a 25 year old female, for the last couple of years I have noticed a lump on the outside of my anus. sometimes it enlarges & goes hard, and I find it uncomfortable to poo, other times it is barely noticeable but still evident outside my anus. At present it is probably the size of a 1p-5p coin and is hard to the touch. The more I go to the loo & wipe it the worse it becomes. I sometimes have to use sudocream. I also experience anal bleeding sometimes too when I have a poo (it doesnt necessarily have to be a strained one). i did go to the doctors over a year ago & got told that it had probably been there all my life & that i just hadnt noticed although I am sure this is not the case. What could it be?
[|AI|]  Hi. Thanks for your elucidate history and findings. This is a classical finding of the interno-external piles (hemorrhoids). This degree of piles needs an active treatment. I would advise you to visit a Surgeon who deals with this (proctologist if you have) or Castro surgeon. You can get a proper examination to know the degree of piles and get further investigated and treated. Most probably you need a surgery if you want a permanent cure.