Brief Answer:
Possibly anal fissure

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Namasthe
Greetings of the day

Dear Ms

First and foremost let me reassure it's nothing serious.
From the description given you seem to be suffering from fissure in anus. It usually occurs due to small tear in anal mucosa due to passing of hard stools. Reduced intake of water and diet alteration could have precipitated this episode. It usually causes streaking of blood on stools. Due to presence of ulcer it provokes spasm of both external and internal anal sphincter further aggravating pain and constipation . When the fissure heals it produces over growth of skin and covers and protect the ulcer. This is the mass like thing you are experiencing.

Exact diagnosis will depend on visual examination. Sending a clinical photograph will be helpful.

There is no cause for concern. Follow religiously everything I will be advising you.
1. Ensure good intake of water: 2 to 3 liter of water per day.
2. High fiber diet: 2 servings of vegetable salad and 2 servings of fruits everyday. It will be beneficial in both fissure and hemoorhoids
3. Syrup Lactulose: 10 ml twice a day. It is laxative and will ensure soft stools and allow complete healing of fissure
4. Hot Seitz bath : Add a handful of common table salt to tub of lukewarm water. Sit in it immersing your anus and bottom. Warm water will reduce the pain and spasm. Sit for 15 minutes thrice a day
5. After Hot seitz bath; after the bath and also before and water going for stools apply Xylocaine Ointment to the anal opening. It will reduce the pain being a local anaesthetic.
6. Nitroglycerine ointment: apply it locally to anus before going to bed. It will relieve the spasm.
7. Tablet Ibuprofen will be helpful to reduce pain.

Do get back to me anytime, throughout your stay away from India will be there to assist you.

Take care

Best Regards
Dr T Shobha Deepak
MBBS,MD

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