Q. Why do I have pain and feel like hard tissue is present in my anal region?

Answered by
Dr. Vedprakash Verma
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 25, 2023

Hi doctor,

I am suffering from hemorrhoids, but for the last few days, I have felt like there is a hard tissue (feel like cartilage) just behind the anal region; it is very painful too. Kindly advice.



Welcome to

These are hemorrhoids only with a skin tag; due to the long duration, it becomes hard and ulcerated. Two things we have to rule out are hemorrhoids or fistula. Most probably, it is only hemorrhoids, which are considered external hemorrhoids, treated very easily with hemorrhoidectomy, a simple procedure by general surgeons. Kindly follow the following advice.

  • Eat high-fiber foods - Eat more fruits, vegetables, and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids. Also, add fiber to your diet slowly to avoid problems with gas.
  • Use topical treatments - Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent.
  • Soak regularly in a warm bath or sitz bath - Soak your anal area in warm water for 10 to 15 minutes twice daily. A sitz bath fits over the toilet.
  • Keep the anal area clean - Bathe (preferably) or shower daily to gently cleanse the skin around your anus with warm water. Avoid alcohol-based or perfumed wipes. Instead, gently pat the area dry, or use a hair dryer.
  • Do not use dry toilet paper - To help keep the anal area clean after a bowel movement, use moist towels or wet toilet paper that does not contain perfume or alcohol.
  • Apply cold - Apply ice packs or cold compresses on your anus to relieve swelling.
  • Lignocaine for local use, And once show your nearest surgeon for a permanent solution.


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