About an inch above my anus is very red, itchy, burning with a smelly discharge. doctor ruled out genital herpes after a swab test but now it is worse?

Maybe a fistula: Could be a peri-anal fistula, which is a communication between the inside of the anus and the skin, thought it be caused by a small abscess on the inside. This is treated by a colorectal surgeon, and there are various techniques available. Hope this helps!

Supra-anal lesion: Is it painful? It can be an infection, abscess which may respond to topical/oral antibiotics or may need drainage and antibiotics. Other possibilities are eczematous lesion (unusual, steroids) , candida ( fungal meds),pilonidal cyst (drainage by surgeon, packing antibiotics) ,warts ( removal). Pinworms and hemorrhoids are nearer to anus. Discuss this with your doctor/urgent care /ER.