Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours, seem to suffer from-Peri-Anal lump with Resolved Infected Sentinel Piles with Fissure/ or external thrombosed piles .
History of blood sometimes with hurt-indicates
fissure in ano.
The bump which is there now, is from the fibrosed external thrombosed piles/ or Sentinel piles with resolved infection in it lately.
No question of any anal/or normal -sex till the anal cause is investigated.
Other causes need to be ruled out by P/R examination and proctoscopic examination,by Consults with Surgeon.
Second opinion from Surgeon need to be taken to resolve these pains.
This plan would reduce your dilemma with perineal bump with constipated hard stools.
Hope this would help you to plan further of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS