Hello sir, thank you so much for your reply. I'm further answering to your reply 1 hour ago on my question related to piles, I attached my question at the end of this reply. So there is no bleeding. And as you suggested it may be anal fissure (fissure is like a tear) but there is not cut or tear. I just had small inflammation on the anal edge and I got tensed then I consulted a doctor she gave medicine as i've written in my first. And as I mentioned it got worst after taking medicines from second doctor she told me it's external piles she gave me medicine for 5 days and asked to come again. I went after 5 days she gave me another tablets and after 2 days it got worst it became like thrombosis external piles and that's painful but no bleeding no cut or tear she said I might have eaten something hot like garlic, ginger, onion etc but I didn't eat these things but before starting this treatment I use to alot that time didn't but within a week of this treatment this happened now i'm taking pilex tablets of himalaya and using anovate ointment during bowel movement and having sitz 2-3 times daily putting a antibiotic powder she recommended and after sits bath a cream name smuth. I don't know what to do now. It's been a week still painful. Can you please help me with the right treatment or something I should do to heal from it. This was my question "i noticed a lump on my anal edge in september 2019 and I thought it's normal pimple and I ignored that it'll go away own but it didn't almost 2 months and then I used coconut oil on it. It reduced in size but again. But appeared again and I used coconut oil again its just reducing in size not going away later in lockdown physical activities stopped then I felt itching there and used coconut oil again it helped me to get rid of itching but not that lump. After sometime I used glycerin to get rid iff it but didn't work. Then I went to a doctor she examined and she said this is fungal infection. And she gave me ofloxacin 200 tablets and dermikem oc max ointment to apply there. I used it for 15-20 days but didn't work but that lump was getting bigger that ofloaxin 200 tablets caused me (extreme headache, dizziness, constipation and body pain ). Then I consulted another doctor and she examined and said it's external piles and she gave me anovate ointment to apply and pilon and metrogyl 400 tablets. And asked me to come after 5 days. When I went she gave me cefixime tablets. Twice a day also have sits bath twice a day. And after two days my piles got worst I consulted her again and she said may be I eat some hot thing like garlic onion or ginger but I eat it usually it never got this worst and painful. Before having medicines I never experienced pain there and then she prescribed me pile tablets of himalaya for 30 days and a cream name smuth to apply thereafter having sits bath and a pain killer if I feel pain it's been 5 days that worst blood clot swelling isn't going away. Please help me to know about it better and what to do further.