Swelling and pain around the anus with difficulty during stool passage, walking, and sitting may suggest an anal condition such as a fissure, hemorrhoid, or infection, especially concerning given your diabetes which can affect healing.

🩺 What You Can Do Now

• Keep the area clean and dry; use warm sitz baths (sitting in warm water) several times a day to reduce pain and swelling.
• Avoid straining during bowel movements by eating a high-fiber diet including dals, millets, vegetables, and drinking plenty of water to soften stools.
• Over-the-counter pain relief like paracetamol can help, but avoid self-medicating without doctor advice due to your diabetes.

⚠️ When to See a Doctor

• If pain worsens, swelling increases, or you develop fever or discharge.
• Since you have diabetes, prompt evaluation by a colorectal surgeon or a general surgeon is important to prevent complications and ensure proper wound healing.

🩺 Follow-Up

• A specialist can examine you to confirm the cause and may prescribe medications such as topical treatments or recommend procedures if needed.
• Managing your blood sugar well will also support healing.

Please consult a colorectal surgeon or general surgeon soon for a thorough evaluation and tailored treatment.To narrow down potential causes, we will need some more information.I understand you're experiencing swelling and pain in your anus without bleeding, along with pain during bowel movements, walking, and sitting. It must be difficult for you. Also, you have diabetes. To give you the best advice, I need to know your age and gender. Can you please provide this information?