Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have a painful lump in between an Anus it is very painful even when just lieing down it is so painful but then even my a bus is painful to burning stinging and red stings when I go to the toilet I touched it and it was very hard and felt like it was in side the skin also feels abit big to
[|AI|]  Hello and welcome to Chat Doctor I have read your question and I can understand your concerns. If were treating you in my clinic I would have examined your anal region to look for perianal hematoma.it is also known as external hemorrhoid. These occur due to accumulation of blood or dilation of small veins below the dent ate line of anal canal. In this case I would have evacuated the hematoma by surgical incision. I would also have looked for anal fissure which is a cut in the lower part of anal canal and very painful. Chronic fissure cause lump in the form of skin tag. For this I would have suggested glyceryl initiate cream.surgery like lateral internal sphencterotomy is needed in chronic case. In the absence of both above-mentioned condition I would have done digital rectal exam to look for hemorrhoids.4rth degree hemorrhoids can become thrombosed and can cause pain also. I would suggest you to meet a general surgeon for second opinion. Thanks. Hope the answer is helpful. Keep asking us at Chat Doctor. Regards