Hello,
Based on your symptoms —
• Severe pain while passing stool
• Small lump in anal region
• Difficulty sitting
• No bleeding
This most commonly suggests Anal Fissure or possibly a painful external pile.
Intense pain during and after stool, especially without much bleeding, is more typical of fissure.
Left-sided abdominal pain may be related to constipation or straining.
Next Steps
In my clinical practice, I have managed many similar cases successfully with individualized homeopathic treatment, especially in early stages, and patients have experienced significant relief in pain and recurrence tendency.
However, proper case evaluation is necessary to decide the stage and plan treatment accordingly.
If pain is severe or increasing, a physical examination is advisable.
You may consult online with detailed history so I can guide you properly and suggest a suitable treatment plan.
Health Tips
✔ Avoid constipation
✔ Drink 2.5–3 litres water daily
✔ Take high-fibre diet (fruits, vegetables)
✔ Avoid spicy and very dry food
✔ Warm sitz bath 10–15 minutes twice daily
Do not ignore it, because untreated fissure can become chronic.
Take care!