question: Hello doctor, I have been having serious pain when going to the toilet but the pain lasts for anything up to 8 hours after. I sometimes have blood on the toilet paper as well. I have been to the doctor before and even took myself to the hospital and after a small rectal exam every time they tell me it is a pile or hemorroid. I am convinced it is not because this has been going on for three years now. How can something so natural cause me so much pain? It even gets to the point where it wakes me up at night in agony depending on when I last had a bowel movement. My actual bum hole is worrying me as well. It started off as a little tear (fissure), now I have got a big tear with what looks like a skin tag hanging off it as doctors in the past have said. It cannot be a skin tag as if you look properly it is actually part of my bum hole as there is a part missing.