Brief Answer:
Painful Swelling in back of Anus/ Under Evaluation

Detailed Answer:
Brief Ans- Painful Swelling in back of Anus/ Under Evaluation
Mostly from-Chronic Fissure in Ano with Sentinel Piles

Hi,Dear!! Thanks for the query to HCM.
Read and reviewed the query facts and feel concerned about your health issues.

My Impression-

Going by what you have submitted, You seem to have Chronic Fissure in ano with accompanied Sentinel Piles-a skin tag at entry of Anus in backside.
This skin tag indicates that You suffered from condition called-Fissure in ano in the past.It covers the healed up Anal-ulcer-called Anal Fissure,when it is painless.

When you get hard stools sometimes due to dietary changes / or due to accompanied low fluid intakes,it causes overstretching of the healed scar under the skin tag-or Sentinel Piles, which leads to recurrence of Anal ulcer, which causes pain due to overstretching while passing hard stools.
This anal ulcer gets later on infected and inflamed due to repeated stretching injuries on subsequent defecation.

Thus it causes swelling of the Skin tag, which obstructs anal discharge of stools.
So you restrict dietary intake for fear of anal pains and the swollen Sentinel Piles- gets relieved over next few days time.
This is why, it pains sometimes and softens after some days.

Remedy-

Consults with General-Surgeon
Get Anal and physical checks for its assessment done
While swelling is on-
Take Seitz Bath(Warm water with antiseptic) x 2 times a day
Anovate Cream locally x 2-5 days

If no relief -

Add Anti-inflammatory Like-Tab Advil-x 2-3 times a day x 5 days
Add Antibiotics-Like Ciplox if need be x 5 days

Dietary do's-
Take Bland liquid diet/like porridges and fruit juices
Avoid Spicy,fried, non-veg diet.
Be on Vegan diet to avoid its recurrence and to avoid further complications out of it.

Need of Planned Surgery-For total Cure.
To get rid of Skin Tag-Sentinel Piles-You would need a planned -operation-called-Fissurectomy with Anal Dilation Under GA / or Under Local Anesthesia, if its too small.Here in the Ulcerated area-called Fissure- is excised along with the covering skin tag-called a Sentinel Piles- once for all by planned surgery.

Other possibilities need to be ruled by Consults with Surgeon.

If you want more explanations for few more queries, You are welcome.
Await updates from You as asked above, so as to give specific reply to your extended query.

Welcome for any further query in this regard.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229


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Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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