Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Sentinel Pile with boil near it.
You seem to have Skin tag which has formed over recurrent attacks of
Fissure in Ano,which you have forgot to tell or missed it to notice.
The tender bump near it just the infected portion of the Sentinel skin tag,which is inflamed and is causing worry.
Treatment-
Consult Surgeon n check with proctoscopic and anal physical check ups.
Confirm it and plan excision under local aneasthesia as OPD / minor surgical procedure.this would resolve it completely.
If it requires fissurotomy to reduce the recurrence, you may need short GA and hospital stay of few days.This would recover in 2 weeks time in all.
Hope this would help you to solve your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS