<s>[INST] i have large painful pumps near my anus, very painful they usually last for 5 to 7 days before they open releasing a lot of puss and some blood and then the pain is releived until another one starts to form in the same area but not the exact place. what is this and how to prevent them [/INST] Hi, dairy have gone through your question. I can understand your concern. You may have some hemorrhoid (piles).  You should go for per rectal examination. It will give you exact diagnosis. Then you should take treatment accordingly. Take high fiber diet and Chat Doctor.  Avoid constipation.  For pain relief local anesthetic gel like lignin can be used.  Permanent treatment is surgery.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>