instruction: hello doctor I am 24 years old I have an external and internal hemorrhoid I guess but I am not sure I have a lump near my anus and it hurts a lot when I sit and walk sometimes it bleeds as well there were two external hemorrhoids but one was gone by itself and one remained and it has been there for more than 15 months and it is still there I also noticed a color change near my butt area I have attached a video I want to know what actually it is and how can it be gone forever do I need surgery I do not want a surgery can it be cured by a home remedy
output: hello did you attach any video here only pictures are available do you feel difficulty in passing stools any blood after stools does the area of lump itches or always seems to be wet it does not seem to be like a typical external hemorrhoid it needs a physical examination to confirm the diagnosis actually these are a collection of engorged small blood vessels and nearby soft tissue which occurs due to the pooling of blood due to prolonged constipation straining etc hemorrhoids can be avoided by encouraging more oral fluids avoiding constipation straining exercises especially abdomen fiber rich diet etc you most probably need to visit a general surgeon also you might just need a minor surgical procedure you no need to get worried you can get discharged in two to three days from the hospital I believe home remedies would not be helpful at this stage