This looks like an acute fissure in ano
with a sentinel tag. U may be constipated ian it may be a recurrent and a chronic problem for u which would exacerbate with episodes of constipation
and stree and strain. Please start sitting in luke warm water 10 min morning and evening to help it heal fast and use liberal dose of 'cremaffin' 4-6 tea spoons in night so as to keep stools very soft to semisolids. It will take 5-7 days for pain to subside but the lumpy feeling will never go and for this surgery is NOT advised. only indication for surgery is no relief with these medicines. No short cut for pain. No analgesic
would normally work. No local onintment really may be of any proven efficacy.