A fleshy growth at the anal opening is likely to be a hemorrhoid with a variety of manifestations, such as connective tissue external hemorrhoids, varicose external hemorrhoids, inflammatory external hemorrhoids, thrombosed external hemorrhoids, etc. Connective tissue external hemorrhoids as well as varicose external hemorrhoids manifest as soft growths at the anal opening, but they generally do not present symptoms such as pain. Inflammatory external hemorrhoids and thrombosed external hemorrhoids, on the other hand, are likely to cause painful discomfort and painful symptoms in the anus. You can take a sitz bath with warm water or potassium permanganate water for about 10-15 minutes after a bowel movement to improve blood circulation around the anus, and the enlarged hemorrhoids can be reduced somewhat. Apply hemorrhoid cream, such as anal tide ointment or Ma Yinglong hemorrhoid cream, to the anal opening to clear heat and detoxify, reduce swelling and relieve pain. With this treatment for about five to seven days, the anal pain symptoms will improve and the enlarged mass of flesh can be reduced to some extent. If the enlarged hemorrhoids do not have pain and other symptoms, it is not a big problem not to continue the treatment.