Mostly sentinal tag Need consultation

From the limited view of the picture uploaded, it is a Sentinel tag, which happens as follows: 1. Straining or hard stools will cause a linear wound and tear of anal lining mucosa which comes out like this pointed swelling: : 2. At its base inside is a linear wound which is called a “fissure”: this causes the burning pain 3. The inner linear tear or fissure is seen only on examining inside of the canal by a proctoscope 4. The tear wound heals in most patients 5. The tag or swelling which has come out will remain but should become less painful and swollen 6. Treatment is keep stools soft by using laxatives, local ointments like the xylocaine jelly and pain killers 7. If pain is severe or persist la then consult a surgeon