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How can I remove an anal skin tag? (sentinel pile)

i went to a general surgen and she said i have a small anal skin tag due to a fissure and she won't remove it :'\
and oh my goooood it's driving me crazy!
every time i set and get up i feel it! when i get down to pick up something i feel it when i walk i feel it damn this tag!
i have a very small hemorrhoid connected with it but it's internal and it's getting smaller but the skin tag sometimes it's gets inside the anus and sometimes comes out! and i don't know what do! have u remove it with laser or something without bleeding cuz i don't wanna get another tag or infection! what do u recommend?
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