If you have a painful lump near the anus, consider the following possibilities: 1. Consider a thrombosed external hemorrhoid, there will be a lump near the anus, painful sensation, blood during stool, etc. You need to take surgical treatment, common surgical methods are thrombus stripping surgery, and thrombosed external hemorrhoid removal surgery. 2. Consider a perianal abscess caused by an infection in the rectal area, which leads to the gap near the anus. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual pain may also be caused by acral warts, anal fissures, etc. It is best to go to the hospital to see your doctor.