<s>[INST] I have a very small lump, size of small pea, on the opening of my anus! Just inside! I have severe itching at times and some small red patchy areas around the anus! I have tried canestan cream containing hydrocortisone and anusol but neither seem to help in the long term! [/INST] Hi ! Good afternoon. I am Chat Doctor answering your query. It might not be possible to opine on your problem unless it is clinically examined. Therefore, I would request you to please take an appointment with a general surgeon for a proper examination of the lesion for an appropriate management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. </s>