<s>[INST] i recently discovered a lump that looks like it's coming from inside the anus to the outside. It doesn't hurt and is not dark in color. When I first felt it, it felt like a wedgie. It's been about 2 weeks now and it hasn't gotten any bigger. It's gotten smaller where I don't feel it, but looks the same size. There is no pain or itching and my BM have been more soft that normal. Please let me know what I can do. Is there an OTC cream? Thank you! [/INST] Hi I am Dr Fahim and I will be helping you with your problem       I have gone through your question. It appears that you are having Grade II or III hemorrhoids as you said a lump is coming out of anus. If it reduces back on its own then its Grade II and if it needs to be pushed back then its Grade III. There are four degrees of hemorrhoids, first two are treated conservatively mostly with injection sclerotherapy while grade 3 and 4 needs operations. You need a review by general surgeon. Who after performing Digital rectal examination and proctoscopy will assess the exact grades of the disease and will then guide you about further course of treatment depending upon in which grade it falls. You need not to worry too much as hemorrhoids is a common condition and easily treatable. I hope my answer will help you. Do rate my answer if you like it.Regards </s>