Conversation: The conversation between human and AI assistant.
[|Human|] hi i have had a lump appear just outside my anus hole,had it for 5 days now,i thought it was a pile so been using anusol + on it but it still hurts and its not reducing in size.its quite painful and when i looked at it last night there is a non protruding black spot on it,im a little concerned?
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. You may have internal or external piles. You should go for examination.  Medical treatment helps in most of the cases. Avoid spicy food.  Take high fiber diet and plenty of water. Avoid constipation.  Local anesthetic gel like lignin can be used to receive pain.  If you have bleeding then ethamsylate can be used to control bleeding.  If you don't get relief then surgery is the permanent treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.