<human>: Hello Doctor, I just noticed yesterdat that I have this hard thing in the entrance to my anus. It looks like a bum but when touched it kind of moves, is really hard and covered by the epithelial tissue. Could it be pile? Please help me out. I m really scared
<bot>: Hi. Thanks for your query. You have great observation and really put the problem in a proper word of explaining :The lump which hard, mobile at the anal verge which is movable and covered by epithelial cells can be due to :-Prolapsed thrombosed pile.-Sebaceous or such cyst. The best way would be:Get the diagnosis confirmed by clinical evaluation, direct examination including ano-proctoscopy by a General Surgeon. Get operated as it is never a good idea to keep any of such swellings near the anal verge for 2 reasons1. You get rid of the problem 2. You get the [proper diagnosis and histopathology report. In the meantime, take laxatives if you have hard stools. Antibiotics and metronidazole and probiotics if there are signs and symptoms of intestinal infection