Anal problem

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Does anyone know what this is?? This is on my anus, I had got treatment piles, but this looks more like an ulser. I have no idea what this is, but it seems to be getting bigger. When I go to the toilet, my anus feels like it is quite lumpy and really hurts

I am starting to get concerned and wonder if this is worth seeing the doctor about?

The white stuff is the cream that they have provided me with.

Thanks

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