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Unsure whether to have Anal skin tag surgery- please help !

I am considering having a medium size skin tag removed which is half
Inside and half outside my anus . It was really uncomfortable , prickly and itchy and painful to sit on. The tag would be cut and cauterised. Has anyone had anything similar in terms of type and size ? Unsure of my pain tolerance. Can you have narcotics and counter act the constipation with loads laxatives? Many thanks
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