<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi..i have a small hard lump very close to my anus.im 40 years old and have no bleeding,its not sore and im not sure how long its there.i do suffer with constipation and i did strain a lot on toilet yesterday.this is when i discovered the very small hard lump.sems to be under and over the skin.Thank you :  <response>: Welcome to Chat Doctor. 1. Possible causes of lump after a chronic constipation includes venous dilatation which looks like lump, and they are generally soft.2. And hard subcutaneous lump can be hair follicular inflammation infection.3. In this case you need to see your GP and get it examined, and if required an ultrasound to see the nature of the lump, if involving the anus - trans rectal scan will show the communicates if there are.4. Treat the constipation, fib ere died, fluids, avoid spicy, junk foods, Home remedy - sits bath sit in the tub with warm water5. Suggest to get appointment and get examined and treated accordingly as there are quite a large possibility of complications - which needs operative procedure if delayed. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. 