Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have had really painful bowl movements for the last 3 months sometimes I could feel the blood trickling out of my anus. It is horrendous I could scream it is so painful. Gradually it s gotten better. But now I have a lump between my vagina and my anus that s sore and itchy and keeping me up at night, any idea what it is?
[|AI|]  Hi.based from your description, it could be a hemorrhoid. It is best if you consult with a doctor, preferably a general surgeon, for physical and clinical evaluation, especially, if you have associated bleeding. High fiber diet is encouraged to help ease your bowel movement. Diagnostics (such as photocopy) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.