respeceted drs.plz dx and rx for dis case.. symptoms... severe bleeding and pain c.constipation mass comes out side when pt goes in toilet.

70 yr female patient , wt 55 kg k/c/o HTN on regular treatment .. present BP . 140/80 No h/o any previous operate . now c/o : presence of mass in ano. , itching , pain , since from only 8 days ..( I asked her repeatedly for an duration she told these complains is only frm 8 dys nt more than that ) in PR exam :: i doesn't feel any anal tear ( fissure typical sign ) only presence of an mass in 12 clock position as in picture... it is a Haematoma ? or ext.pile? dear dr gives ur opinion regarding this .. !

Spot diagnosis and management of the case. Patient is having this anal problem since last 6 months.

A 32 year old man suffring from this kind of pain and bleeding since last 12 to 15 days...

A 35 yrs old male pt suffering such kind of lession on anal region....since 1 yrs. symptom... massive pain and bleeding during defecation and aft stool habits ..hot desire of food and daily alcohal intake...but still stop all dis habits due to pain. occupation... agriculture worker hb.8.9....remains all issues is normal. respected drs plz dx and share ur valuable opinion on dis case.