I am Dr. Shamoon. From what you describe - severe constipation that worsens in the days before your periods, and a bump you can now see and feel at the anal opening - this is most likely a sentinel skin tag or an external pile (sometimes a small clotted pile) formed by repeated straining against hard stool. Progesterone in the premenstrual phase slows the gut, so stool hardens for about a week each cycle and the anal canal takes the brunt of it. If passing stool gives you a sharp cutting or burning pain that lingers for several minutes afterwards, with bright red streaks on the paper, there is very likely a small anal fissure under that tag - the tag is the body's scar response to a chronic fissure, not a tumour. The right specialist for you is a General Surgeon or Proctologist; you do not need a gynaecologist for this even though the timing follows your cycle. At 42, with the picture you have given, this is not a severe or dangerous problem and it usually settles with stool softening and local care rather than surgery - but it will keep returning every cycle until the constipation itself is corrected. What would change my advice is a hard fixed lump that keeps growing, bleeding that is dark or mixed into the stool, unexplained weight loss, or a lasting change in your bowel habit - those need examination and possibly a scope, not reassurance.

Already answered  general surgeon

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

It's a sentinel pile. Consult a general surgeon Do sitz bath Increase fiber in your diet Adequate hydration Soft diet Avoid oily spicy food

Kindly do connect and consult for better treatment

Thorough examination needed Kindly consult for further advice

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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Pump in Anal Area is very common and aften caused by a Hamorrhoid, a blood clot under skin ( Peripheral Hematoma) a skin tag, Advise... Take warm bath ( sitz Bath) for 10 to 15 minutes few times a day to ease pain and swelling Keep area  clean and dry Eat more fiber containing food and drink plenty of water to soften your stool, Stop Straining Do not try to squeeze,  pop or lance  any bump your self. Constipation.... Constipation is main root cause of these problems so Take measures to avoid Constipation....as advised above. If not relief please consult to Surgeon

Mam prolonged constipation has led to such a problem this could be a sinus or fistula which could be confirmed through fitulography but the attached picture looks more like fistula. You need to make an effort on your diet and start with medication so that u won't have discharge pus or blood. Consult general surgeon for the same.

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

Seems like a sentinel tag.. consult general surgeon nereby

Consult with a Surgeon

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

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

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

Please consult