Painful Growths Around the Anus: Possible Causes and Treatments - Surgery

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It sounds like you are experiencing a concerning issue with a growth around your anus that has become painful and inflamed. Based on your description, it is possible that you are dealing with a thrombosed external hemorrhoid, which is a common condition. However, there are several potential causes for the growths you are describing, and it is important to consider them carefully.


Possible Causes
1. Thrombosed External Hemorrhoid: This is the most likely cause given your symptoms. Hemorrhoids are swollen blood vessels in the rectal area, and when a blood clot forms in an external hemorrhoid, it can lead to significant pain and swelling. The initial painless bump can become painful as the clot forms and the tissue becomes inflamed.

2. Skin Tags: Sometimes, after a hemorrhoid resolves, a small skin tag can remain. These are usually painless but can become irritated and inflamed, especially if they are subjected to friction or pressure.

3. Anal Fissures: If you experienced any trauma during bowel movements, such as straining or passing hard stools, it could lead to an anal fissure, which is a tear in the lining of the anus. This can cause pain and may lead to the formation of a growth as the body attempts to heal.

4. Abscess: An anal abscess is a collection of pus that can occur due to infection. This would typically be associated with more severe pain, swelling, and possibly fever.

5. Warts or Other Growths: Genital warts or other benign growths can also appear around the anal area. These may require different treatment approaches.


Treatment Options
Given that you have already tried topical treatments like "保寧痔" (which I assume is a hemorrhoid cream), and have not seen significant improvement, it may be time to consider other options:
1. Warm Sitz Baths: Soaking in warm water can help reduce pain and inflammation. This can be done several times a day, especially after bowel movements.

2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.

3. Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements, which can alleviate pressure on the anal area.

4. Avoiding Irritants: Be cautious with any topical treatments, as some may cause irritation. It’s best to use gentle, non-irritating products.

5. Consultation with a Specialist: If the growth continues to be painful or does not improve, it is crucial to see a healthcare provider, preferably a gastroenterologist or a colorectal surgeon. They can perform a thorough examination and may recommend treatments such as rubber band ligation, sclerotherapy, or surgical removal if necessary.


When to Seek Immediate Care
If you experience severe pain, bleeding, fever, or any signs of infection (such as increased redness, swelling, or discharge), you should seek medical attention promptly. These could indicate a more serious condition that requires immediate treatment.


Conclusion
While it is possible that your condition may resolve on its own, given the increase in size and pain, it is advisable to consult with a healthcare professional for a definitive diagnosis and appropriate treatment. Early intervention can prevent complications and improve your comfort.