While changing my 3 year old daughter i noticed her

Patient : While changing my 3 year old daughter i noticed her perineal area has a a lump i have never noticed this before she has an appointment to see a gastrointestinal specailist as she suffers from cronic constipation thus resulting in constant straining she also has a small belly button hernia. My question i guess, is shouldnt the perineal area (sorry if spelt wrong) be smooth and is this something ishould he concerned about she doesnt seem to be in pain??
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