A fleshy lump outside the anus with painful symptoms is most likely a sign of inflammatory external hemorrhoids, or mixed hemorrhoids. In an acute attack of hemorrhoids, it usually manifests itself as a growth of a foreign body at the anal opening, accompanied by pain and, in many cases, the possibility of blood in the stool. At this time, you need to take a sitz bath with warm water to improve the blood circulation around the anus, which can reduce the pain to some extent. Then apply hemorrhoid cream to the anal opening, which can help clear heat and detoxify, reduce swelling and relieve pain. You also need to adjust your diet, avoid spicy and stimulating foods and fried foods, increase the intake of fruits and vegetables, and drink more water, which will help soften the stool. If you have constipation, you need to take oral pills such as Ma Ren Pills or Sophora Pills to laxate the bowels. Generally through the above conditioning and treatment for about 3-5 days, the enlarged or prolapsed foreign body at the anal opening can be reduced in size and the pain can be alleviated. Of course, in order to completely eliminate it, you still need to remove it through surgery.