Conversation: The conversation between human and AI assistant.
[|Human|] I am a male and have a hardening just outside my anus. It begins just outside my sphincter and goes up my left side about an inch. It is on  my left side only. It wasnt painful at first, now it is a little. I am a 53 year old male in excellent health. I did have pilonital cysts removed when I was 21. Since then no problems.
[|AI|]  Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment-for-hard painful anal-lump-1- Mostly it appears to be -Chronic- Sentinel Piles with active fissure in ANO 2-As you are worried I would advise you to check with your ER-Surgeon-who would fix its diagnosis and would treat it accordingly by-a-Anal Dilatation with Excision and debridement of the fissure in ANO.b-Anti-inflammatory anal lubricant ointment.c-Tb-NSAIDs, d-Antibiotics-for control of infection. Hope this would help you a lot to relieve from painful anal lump. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies.