I have severe pain and itching in my anal hole with a few bumps on it. Why?

Hello,

Welcome to icliniq.com.

The picture you attached (attachment removed to protect patient identity) seems thrombosed external hemorrhoids. These are blood-filled piles in the anal canal, which has now clotted with blood. Pain and sometimes bleeding is a common thing.

I suggest you the following regimen. Use it for a week, at least.

Take tablet Daflon 500 mg thrice daily for one week, Ispagol husk two tablespoons full in a glass of water once daily.

Avoid constipation by taking fiber in the diet, take plenty of water, 2 to 3 liters in a day. Apply Xylocaine 2% gel six hourly for five to seven days. You can stop it earlier if no pain.

Do a sitz bath. Take a water tub, fill it to half with slightly warm water, add 5 ml of Dettol anti septic, and sit in it till the water temperature became normal or 10 minutes. Do this two to three times a day.

Update me about your symptom in three days. If no improvement can consider surgical referral.