Small Bumps Inside the Anus: What You Need to Know - Surgery

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There are small lumps or bumps inside the anal opening?


I have noticed small, lump-like structures inside the anal opening when I insert my finger, but they are not painful.
They resemble small polyps, and I usually don't experience any other symptoms.
I also do not engage in high-risk sexual behavior.
Is there any issue with this?

Yun Yun, 10~19 year old female. Ask Date: 2016/04/28

Dr. Xu Kaixi reply Surgery


It may be hemorrhoidal tissue or other skin tumors; it is recommended to visit a surgical outpatient clinic for further evaluation.

Reply Date: 2016/04/28

More Info


When it comes to small bumps inside the anus, it is essential to approach the situation with a clear understanding of potential causes and implications. The presence of small, non-painful bumps in the anal area can be concerning, but it's important to note that not all bumps are indicative of a serious medical condition.
One common cause of small bumps in the anal region is the presence of hemorrhoids. Hemorrhoids are swollen blood vessels that can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). They can appear as small lumps and may not always cause pain, especially if they are not thrombosed (clotted). Hemorrhoids can result from various factors, including straining during bowel movements, chronic constipation, or prolonged sitting.

Another possibility is the presence of anal warts, which are caused by the human papillomavirus (HPV). These warts can appear as small, flesh-colored or gray growths and may be painless. While you mentioned that you do not engage in risky sexual behavior, it’s important to remember that HPV can be transmitted through skin-to-skin contact, and some strains can remain dormant for years before causing visible symptoms.

Additionally, skin tags can also form around the anal area. These are benign growths that can occur due to friction or irritation. They are typically painless and do not require treatment unless they become bothersome.

In some cases, the bumps could be related to other conditions, such as anal fissures, which are small tears in the lining of the anus that can cause discomfort but may not always be visible. Other less common causes could include infections or cysts.

Given that you are not experiencing pain or other symptoms, it may not be an immediate cause for concern. However, it is crucial to monitor the situation. If the bumps change in size, color, or if you start experiencing pain, bleeding, or other symptoms, it would be wise to consult a healthcare professional for a thorough evaluation.
A healthcare provider may perform a physical examination and, if necessary, recommend further tests to determine the exact nature of the bumps. They can provide a definitive diagnosis and appropriate treatment options if needed.
In summary, while small, painless bumps inside the anus can arise from various benign conditions such as hemorrhoids, skin tags, or anal warts, it is always best to err on the side of caution. Regular self-examinations and awareness of any changes in your body are essential. If you have any concerns, do not hesitate to reach out to a healthcare professional for personalized advice and reassurance. Your health and peace of mind are paramount, and a medical professional can help clarify any uncertainties you may have.

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