hi, your problem seems to be an anal fissure with skin tag which is called a 'sentinal pile mass' Your problem is not getting better with medicines means that your anal opening has become narrow and everytime stools pass, you have a burning pain which sometimes last for the whole day and it is unbearable. You need to see a colon-rectal surgeon & proctologist, Botox treatment for anal fissures would be ideal in your case if you want to avoid surgery or operation of the same. This is possible only ...
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