<s>[INST] I have had a sore lump between the vagina and rectum for over a week. It got harder, then I squeezed it and a lot of puss came out. I thought it might of been a boil or ingrown hair and would be better now that I popped it. It still is very sore, ,, what should I do at home because I don t have health insurance? [/INST] Hi. Thanks for your query. Noted the history and understood your concerns. Such a lump between anus and vagina having pus and soreness can indeed be an infected boil with pus formation but can be beginning of a fistula in ANO. This can be diagnosed by only a proper per-rectal digital examination, photocopy and ultrasound or MRI. In spite of no insurance you have to this done and a visit to a doctor is needed to get a clinical evaluation, examination and to get a proper prescription of an antibiotic and anti-inflammatory medications, proper cleaning of area with Betadine and sterile Chat Doctor.  </s>