### Patient: Doctor, I have this mass or swelling around my anus, and I'm experiencing sharp abdominal pain along with dark tarry stool. What is wrong with me?
### Doctor: Based on your symptoms, it appears that you have hemorrhoids which are inflamed veins in your rectum or anus causing a mass or swelling around your anus and sharp abdominal pain. The presence of melena, or dark tarry stool, may also suggest internal bleeding.