Conversation: The conversation between human and AI assistant.
[|Human|] 1st of im sixteen & im sexually active, i have gotten a blood test & a urine test for STD STIs & I dont have anything, every now & then i get a small lump on my anus , its tender & stings when i touch it.  Im not sure if its hermorroids because they do run in my family or if its a tear because i strain when i poop , it causes little discomphort & goesWha away after a few days , do i need to see a doctor or is it harmless ?
[|AI|]  Hi. This is a classical finding of a fissure-in-ano, you have described. Occurs due to strain at pooh as you have rightly mentioned. The simple treatment which you do at home is ::High fiber diet mild laxative at bedtimeHave a Site bath (in a tub with warm water) to sooth the area. If you maintain this suggestion, you may get cured and there may not be a recurrence unless there is constipation. But if you have symptoms of more than 6 months or more than 3 attacks till now, it would be wise to consult a Castro surgeon, He would advise conservative treatment as I have already directed and may add an antibiotic and metro if he thinks of an infection too. Some patients may require a simple dilatation under general anesthesia if medical management fails to heal this.