<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have just noticed a lump yesterday about the size of a small grape between my vagina and anus, on the left hand side. I have been under alot of stress recently and have lost a lot of weight, and have not had a period for 3 months I am 42. I am worried that something has fallen down or is now sticking out of my body. I had piles after giving birth to my 2 children and dont know if this could be the same thing, and am using anusol at the moment, no sign of shrinking yet. I am very worried about what it could be. It feels quite hard, and is not that sore. I have a docs appointment, but not until Thursday.  <response>: Hi. Thanks for your query and elucidate history. The lump you described is not a pile, nor it is related to the menses. This looks to be just a boil which has got organized due to bodies healing process. You can help more by a course of antibiotic and anti-inflammatory medicines. Surgery is indicated only if it is not responding to medical treatment redness abscess formation if it looks like a fistula-in-ano-. 