Hi I am a 27 year old male, few months back I suffered severe diarrohea and after that I notice a single small lump around the anus, after few days it started itching and burning, then I went to a gastro and he told me that I have external pile and given me an ointment to apply and said it wil b ok after few days. I got relief but the small lump is still there, and now its about 6 months with on and off burning. Please tel me how to get clear that lump.

Dr. Kiran MehtaUrologist49yrs exp

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Dear, after severe diarroea you ave deloped anal fissure due to forceful repeated bowel actions. External pile develops around it which is nothing but swollen skin. Fissure has gone in chronic stage hence it gives you ocassional burning and if you carefully notice it would reappear after passage of hard faeces. Here are few suggestions: 1. Drink plenty of fluids 2. Take high fiber and high residue diet like salads, green leafy veg. Fruits like papita, banana, mango etc. 3. Take emolient laxative like cremaffin syrup 1 teaspoonful at night 4. Isabgol powder 3-4 tsf in 300 ml of water at night 5. Leave sedentary lifestyle and start walking or exercises regularly 6. Apply zincal ointment in side anus with finger turn it around twaice day especially before bowel action. 7. Take siitz" s bath- sit in a tubful of warm water for 15-20 minutes. 8. Avoid taking pain killers if possible Dr. Kirtan mehta. 

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