Hello, From past few weeks sometime blood comes out from my anus and earlier there used to burning sensation but now I do not feel any burning sensation from past few days. Also I feel a lump has formed near anus area, but that is not too big, so I have taken amlox -c and also now I am using betaraite ointment. I want to avoid surgery what shall I do? Is it annal fissure or fistula and any difference between them. But now I do not have any hard stool coming out.