Respected user, hi I evaluated your query thoroughly. * Differential diagnosis includes inflammatory lump / hemorrhoid . * In regard with pain intensity inflammation is more likely. * Bleeding in stool & its consistency are very vital which you have not mentioned herewith. * Take following necessary precautions & then consult a Surgeon for Proctoscopy examination for final diagnosis & management. - avoid all oily / spicy / nonveg stuffs . - have light diet rich in greens with plenty of liquids to have soft stools . - avoid stress / anxiety . - sitting in Sitz bath ( sitting in tub filled with leukwarm water for 10-10 min. 2-3 times a day specifically after passing stool ) helps . - apply Xylocaine (2%) jelly over affected are for sooting effect. Hope this clears your doubtss . Thanks for using Health care magic & giving me an opportunity to assist you. Welcome for any further queries. Wishing you fast recovery from the same. Regards dear take care.