Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation of Yours,You seem to suffer from-Infectd Sentinel piles with chronic infected fissure in ano. Other Causes need to be investigated by Consults with attending Surgeon and Specialist Physician to find out the cause of diarrhea and IBS in your case. My opinion- In the given scenario, infected fissure in ano with resultant ano-rectal spasm is the cause of the IBS and diarrhea, in your case. All these complaints are not from anxiety of your exams, but is due to food habits with low fluid intakes,which flared up the infected Fissure.Thus the pale pink mass from anus needs to be investigated by Surgeon s consults, who would treat it accordingly and would resolve the accompanied neglected health issues of yours. Do s Suggested- Proper checks from Surgeon and Physician team, to evaluate the cause of diarrhoea and ?IBS in past 2 weeks. Take plenty of fluids to hydrate enough with 2-3 litters Avoid spicy/fried / non-veg diet, Take bland diet with low volume loads Add Yoghurt/curd -2 times per day, Take medicines to control IBS induced Diarrhoea from the infected fissure / or piles. Plan surgical treatment after controlling the emergency and infection with IBS and diarrhoea. This plan would reduce your dilemma from frequency/Urgency and incontinence. 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- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS