If attachment available probably helpful  consult superspecialist like general surgeon

Need physical examination. There are many possibilities Consult with gen surgeon physically

Please consult a gen surgeon physically.

Needs examination. Don't ignore it. Please consult.

Based on your description: • Long-standing anal itching • Pain aggravated by sitting/cycling • Two “boil-like” swellings • Duration 6–8 months Most likely possibilities: 1️⃣ External hemorrhoids (piles) 2️⃣ Thrombosed external hemorrhoid (if painful and bluish) 3️⃣ Perianal abscess (if painful, warm, increasing in size) 4️⃣ Anal fistula opening (if there is discharge) 5️⃣ Perianal skin tags from chronic irritation Since symptoms are chronic and worsen with pressure (sitting, cycling), external hemorrhoids or thrombosed piles are most likely. True boils (infected abscess) usually cause: • Severe throbbing pain • Fever • Increasing swelling If that is not happening, abscess is less likely. Without examination, exact diagnosis cannot be confirmed because perianal conditions look similar.

You need physical examination and You need to consult with general surgeon or proctologist locally in your area.

Hello, Based on your symptoms (itching first, now pain aggravated by sitting and cycling, and two swellings), this could be external hemorrhoids, anal abscess, or infected boils. It needs physical examination to confirm. Since pain is present for months, do not ignore it. What you should do: • Consult a General Surgeon or Proctologist • Avoid prolonged sitting • Do warm sitz bath 10–15 mins twice daily • Maintain soft stools (high fiber + water) Treatment depends on diagnosis — it may need medicines or a small procedure if abscess is present. This condition requires proper examination, so I strongly recommend a direct consultation for correct diagnosis and treatment plan.

Might be access due to collection of pus due to infection/ blocked glands

Avoid fried and spicy food Water intake more Kindly do connect and consult

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Consult to Surgeon

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need a few more details please consult for further evaluation and treatment

Please send your pics. Physical examination is needed. Required surgeon openion