Conversation: The conversation between human and AI assistant.
[|Human|] hello i started having pain around my rectum a few days back and i checked it out and it seems to be a whitish bump at the entrence of my anus and it hurts when i excrete and clean was wondering what it is and if i should be worried and if there are specific things i should do to take care of it
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. Even though it needs a clinical assessment of the lesion with a per rectal examination, with your history you seem to be possibly having a fissure in ANO with an external skin tag. If I were your doctor, after a clinical assessment I would advise you to go for a high roughage diet with enough liquids to avoid constipation, site bath two to three times a day, some kind of antibiotic active both in aerobic and anaerobic organisms, and an anti inflammatory Chat Doctor.  In addition, an antiseptic with a muscle relaxant cream having local anesthetic in it might help. In case of constipation, a stool softer would be needed. On physical examination, if the lesion comes out to be other than a fissure, then the treatment would change accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.