<s>[INST] Hello doctor, I have a blue or grey or purplish raisin sized lump next to my anus for three to four days now. I believe it is hemorrhoid but as I have never had one before and I am not sure. It almost looks as if a small blood clot is inside due to the blueish hue. It is not painful (maybe slightly uncomfortable at worst), it is not itchy, and it does not bleed. I never had rectal bleeding or any blood in my stool, and I have no abdominal pain or discomfort. Several days ago I did strain slightly while passing a massive bowel movement and it was after this BM I noticed a bit of soreness around my anus and then felt and discovered this lump. I have no other symptoms or issues other than this small lump. I am a 31-year-old healthy female with no medical history, I take no medications other than an over the counter multivitamin, and I have no known allergies. Is there a way for me to send a photo for reference? [/INST] Hello. I saw the image (attachment removed to protect patient identity). It looks more like external hemorrhoid with a blood clot within. Is it increasing in size? How are your bowel habits, frequency, and stool consistency? Please revert with details so that I can give a specific opinion. </s>