Hello Raj, thank you for sharing your concern. You might be having Hemorrhoids/Anal fissure/ Fistula. For the proper diagnosis, you need to get a physical examination done by a certified General Surgeon or a Family Physician. Till then, take this prescription -
1. High fiber diet. Drink plenty of oral liquids. Avoid spicy & oily foods.
2. SITZ BATH- Take light warm water in a tub and sit in the water. Let that water touch the local area for soothing. Make sure the temperature isn’t too high, it should be light warm. Do this 10-15 mins twice a day × 2-3 months. You’ll see drastic improvement.
3. Tab. Amoxy-clav 625mg twice a day × 5 days.
4. Oint./Gel Lignocaine 5% - Apply to the painful area before going to the potty. × 7 days.
5. Syp. Lactulose 15ml at night × 7 days.
Also get done a CBC blood test to rule out if you are developing Anemia due to blood loss.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine
Pain and burning during stools with fresh bleeding and a small “skin ball” near the anus at your age is most commonly due to an anal fissure or external hemorrhoid (pile), often triggered by constipation or hard stools, and it is usually treatable. Keep stools soft with plenty of fluids, fiber-rich foods, avoid straining, and take warm sitz baths; temporary relief creams may help but should not be overused. Please consult a general surgeon or colorectal surgeon for proper examination and treatment, especially since there is ongoing bleeding, to rule out other causes and ensure complete healing.
Hello dear I think it may be haemorrhoids or malabsorption along with severe constipation I suggest you to please get following tests done for confirmation of exact diagnosis and best treatment. Please share the result with gastroenterologist or laproscopic surgeon in person for better clarity and for safety please donot take any medication without consulting the concerned physician Anascopy Colonoscopy Sigmoidoscopy Esr CBC USG rectum Serum ferritin Rbs Regards
Hello,
Your symptoms sound most commonly like piles (hemorrhoids) or an anal fissure.
Pain + burning while passing stool Bleeding Small skin ball/lump near anus
These are very common and treatable, especially at your age.
Don’t ignore it — see a general surgeon or proctologist
Keep stools soft: drink plenty of water, eat fiber (fruits, vegetables) Avoid straining or sitting long on the toilet
🛑🛑Do warm sitz baths (sit in warm water 10 to 15 min, 2–3 times/day) Surgeon may give ointment, stool softener, or suppository
This is a very common issue, nothing to feel embarrassed about. You’ll be okay 👍
Thank you
Based on your symptoms pain during passing stool, bleeding, burning sensation, and a small skin-like lump near the anus—the most likely cause is an anal fissure, possibly along with a sentinel skin tag or a small external hemorrhoid.
What this means:
An anal fissure is a small tear in the anal lining, usually caused by hard stool or constipation.
It causes sharp pain and burning during and after bowel movements.
Bright red blood on stool or tissue is common.
The “skin ball” you feel is often a skin tag that forms due to repeated healing and tearing.
Visit nearest physician for physical examination.
Hello Raj Thank you for sharing this—these symptoms are actually quite common and nothing to be embarrassed about. Pain, burning, and bleeding during bowel movements, along with a small skin ball (which is likely a pile or hemorrhoid), usually point towards either a small anal fissure (a tiny cut) or hemorrhoids.
Here’s what you can do at home for relief: - Warm Sitz Bath: Sit in warm water for 10–15 minutes, 2–3 times a day, especially after passing stool. - Keep the area clean and dry: Gently wash with water and pat dry, avoid harsh soaps. - Fibre-rich diet: Eat more fruits, vegetables, and whole grains to soften your stool. - Stay hydrated: Drink plenty of water. - Avoid straining: Don’t force bowel movements.
Usually, these symptoms improve with these steps. However, if the bleeding increases, you see a lot of blood, or the pain becomes severe, it’s best to consult a doctor (preferably a general surgeon or a proctologist).
You’re not alone—many people face this, and it’s treatable.
Thank you
