Hi. Thanks for your query for your daughter, I can understand the plight the whole family goes through. I have read and understood that the child is suffering from constipation for a long time and as a result she has developed fleshy small things and a swollen anus. The most probable cause of this appearance in children is rectal prolapse, piles alone are not seen in child of her age. I would advise you the following in such a situation: -Sitz bath and trying to return the mass back. - If not successful or it this recurs please consult a Pediatric Surgeon and get proper diagnosis and treatment. In the mean time you will have to give her laxative.