Hi! Good evening. I am Dr Shareef answering your query. Even though it needs a clinical assessment of the lesion with a per rectal examination, with your history you seem to be possibly having a fissure in ano with an external skin tag. If I were your doctor, after a clinical assessment I would advise you to go for a high roughage diet with enough liquids to avoid constipation, sitz bath two to three times a day, some kind of antibiotic active both in aerobic and anearobic organisms, and an anti inflammtory drug along with a proton pump inhibitor. In addition, an anti septic with a muslce relaxant cream having local anesthetic in it might help. In case of constipation, a stool softner would be needed. On physical examination, if the lesion comes out to be other than a fissure, then the treatment would change accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.