I am Dr. Shamoon. From what you describe - severe constipation in the days before your periods and now a visible bump at the anal margin - the most likely explanations are an external haemorrhoid (pile) or a perianal skin tag, and less commonly a sentinel tag sitting at the outer end of an anal fissure. Your history actually explains itself rather neatly: in the premenstrual phase progesterone slows bowel transit, stools become hard, and the straining that follows is exactly what engorges the anal cushions or tears the anal lining. If the bump is soft, bluish and appeared suddenly with severe pain, it suggests a thrombosed pile; if it is a painless soft flap of skin, it is likely a tag; if passing stool feels like passing glass with a few drops of fresh blood, a fissure is the cause. To answer your direct question: this is not a dangerous or emergency problem, but it does need a doctor to actually look at it - a photograph, even a clear one, cannot replace a proper perianal examination, and I would not want you to treat it blindly. The specialist to see is a general surgeon or proctologist; a physician can start you off and refer if needed. The good news is that at this stage almost all of these settle with constipation control alone, and surgery is rarely required if you act now.

General surgeon

Kindly do connect and consult for better treatment

Thorough examination needed Kindly consult for further advice

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I understood your concern  and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp  on 971*66*33*129

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

General surgeon physically.

Not severe. Just an inflammatory response. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

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Need few more details for further evaluation. Please consult

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

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