Hi,Thanks for the query to HCM.
-I studied your query in depth and understood your concerns.
-Cause and Treatment-of the painful and itchy-lump near anus-
-In your case the cause mostly is -Sentinel piles inflammed-as its itchy and extremely painful- and you do have old history of heamorrhoids-which has lead to this -Sentinel inflammed piles.
I would advise to consult ER Surgeon-who would rule out the Anal
abscess as other possibility.
Remedy would be-
a-Tb NSAIDs.
b-Sietz bath.
c-Antibiotics with doctor script.
d-Anovite oint locally after the surgeons advise.
Hope this would resolve this tricky problem.
This would help you to plan treatment with your doctor.
Don't worry and things will settle
Hope this would resolve your query.
Welcome further for any query in this regard.
Wishing you a fast recovery.
Don't forget to Write a good and strong review ASAP for the benefit of other patients.
Have a Good Day.