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Documented to be the best non-surgical option for prevention and healing of anal fissures. A lump or a swelling that is painful and develops suddenly may be caused by many reasons such as an injury or an infection. If you are susceptible to the risk factors for hemorrhoids, the anal lump may be due to piles. When a fissure starts to heal, it can form a skin tag that may feel like a lump. An anal fissure may cause bleeding, often after passing hard stool a burning or tearing sensation during a bowel. This is a painful condition that is caused by an infected anal fissure. Blocked anal glands and anal sex are also some of the main causes of anal abscesses. An anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure. At first, most people assume the bleeding is caused by hemorrhoids (painful, swollen veins in the anus and rectum that may bleed). An anal fissure is often accompanied by a lump on the outer edge of the anus. This lump is called a sentinel pile as it signals trouble beneath it. When the fissure is acting up, the sentinel pile will often become quite hard and painful and itchy. Not painful hard, small, pea-sized lump on and near anus symptoms, diagnosis posted in lump , reviewed & updated on may 2, 2019 quite a frightener to get busy with the toilet tissue only to uncover a small hard lump where there should only be smooth, pink flesh isnt it or, an unexpected streak of blood. Documented to be the best non-surgical option for prevention and healing of anal fissures.