I have severe pain and a large external lump behind my anal opening. Please help.

Hello,

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I can understand how painful it would be for you. This is an external hemorrhoid (external blood vessels), which seems to have thrombosed (clotted blood). They use to be very painful. I also want to recommend you receive, which is a good medication. I do not have experience with Analpram (Pramoxine), but you should try it since it contains steroids that would work locally to reduce the inflammation. Plus, use the following tablet Daflon, a generic medication (formula name Diosmin and Hesperidin) 500 mg twice daily. Take a sitz bath. Fill a bathtub with semi-warm water up to half, add 5 ml of Dettol or Savlon or any other antiseptic, which is fair for skin, mix it, and then sit in it for ten minutes. Repeat this at least three to four times a day. Xylocaine (Lignocaine) 2% gel for local application. Use it with a nozzle. For now, every three to four hourly, once pain settles, you can use less frequently, like six hourly. Reactive for local applications should be used six hourly for now. Use Ispagol husk two table spoon full once daily with water to help soften the stools. Irrespective of whether you have constipation or not. I believe your pain will settle within 24 hours of use of these above things. Let me know then.