<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am 22 and I have noticed that I have a sore enlarged bump about an inch or so into my anus.its been sore and has been itchy all week.Ive been able to examine it and it dosent look perfectly round I was thinking it might be an enlarged papillae do you think this is what It could be ?  <response>: Hi.it is best if you consult with a general surgeon in regard to your anal lesion. Yes, it could be an anal papilla, but there are other possibilities like hemorrhoids, abscess, fistula, etc. a complete medical and physical examination from your doctor will be of great help. Management medical or surgical if indications are found will be directed accordingly. Hope this helps. Good day!! Chat Doctor. 