a Painless Growth Near the Anus: Polyp or External Hemorrhoid?

There is a small lump at the anal opening that is neither painful nor itchy?

Hello Dr.
Chen: I've been experiencing frequent constipation lately, and sometimes my stool is accompanied by bright red blood, while other times it isn't.
Over the past two days, I've noticed a small growth at the anal opening that seems to be attached to it.
It doesn't hurt or itch when I touch it.
Could this be a polyp or an external hemorrhoid?

Xiao Song, 10~19 year old female. Ask Date: 2016/06/27

Dr. Chen Jiaming reply Surgery

Based solely on your description, it is likely an external hemorrhoid.
It is recommended to first improve constipation by increasing the intake of high-fiber fruits and vegetables and increasing daily water consumption to avoid hard stools that can irritate the hemorrhoids and cause bleeding.
Additionally, changing post-defecation wiping habits can help; consider washing with clean water and patting dry or using moist wipes to gently clean the anal area, reducing friction and bleeding during the process.
If a small growth at the anal opening becomes swollen and painful, it is advisable to consult a colorectal surgeon or a gastroenterologist.
They may initially attempt to alleviate symptoms and swelling with topical medications, along with warm sitz baths, as most patients do not require surgical intervention right away.

Reply Date: 2016/06/27

More Info

Hello! It sounds like you're experiencing some concerning symptoms, and it's important to address them properly. Based on your description, the painless growth near your anus could potentially be either a polyp or an external hemorrhoid, but let's break down the differences and what you should consider.

Understanding the Conditions
1. External Hemorrhoids: These are swollen veins located under the skin around the anus. They can be caused by increased pressure in the lower rectum, often due to straining during bowel movements, sitting for long periods, or pregnancy. External hemorrhoids can sometimes be painless, especially if they are not thrombosed (clotted). They may appear as a lump or swelling near the anus and can sometimes bleed, especially during bowel movements.

2. Anal Polyps: These are growths that can occur in the lining of the rectum or anus. They are typically benign (non-cancerous) but can sometimes develop into cancer over time. Polyps can vary in size and may not cause any symptoms, but they can sometimes lead to bleeding, especially if they are irritated during bowel movements.

Symptoms to Consider
- Bleeding: The presence of bright red blood during bowel movements can be associated with both hemorrhoids and polyps. However, if the bleeding is consistent or increasing, it warrants further evaluation.

- Pain and Discomfort: You mentioned that the growth is painless and not itchy, which leans more towards a polyp or a non-thrombosed hemorrhoid.

- Size and Appearance: The size and appearance of the growth can also provide clues. Hemorrhoids may feel like a soft lump, while polyps can be more firm and may have a stalk.

Recommendations
1. Consult a Healthcare Provider: Given your symptoms, especially the bleeding and the new growth, it is essential to consult a healthcare provider, preferably a gastroenterologist or a colorectal specialist. They can perform a thorough examination, which may include a digital rectal exam or a colonoscopy, to determine the exact nature of the growth and the cause of your bleeding.

2. Avoid Straining: Since you mentioned experiencing constipation, it's crucial to manage this condition to prevent further irritation. Increasing your fiber intake through fruits, vegetables, and whole grains, along with adequate hydration, can help soften your stools and reduce straining.

3. Monitor Symptoms: Keep track of any changes in your symptoms, such as the size of the growth, changes in bleeding patterns, or the onset of pain. This information will be helpful for your healthcare provider.

4. Treatment Options: Depending on the diagnosis, treatment options may vary. For external hemorrhoids, lifestyle changes and over-the-counter treatments may be recommended. If a polyp is found, it may need to be removed and sent for biopsy to rule out any malignancy.

Conclusion
While the painless growth you described could be benign, it is crucial to have it evaluated by a healthcare professional to rule out any serious conditions. Early diagnosis and management are key to preventing complications. Please make an appointment as soon as possible to discuss your symptoms and receive appropriate care. Your health is important, and addressing these issues promptly will help ensure your well-being.

Similar Q&A

Understanding Painless Growths Near the Anus: What You Need to Know

Hello doctor, today while taking a shower, I noticed a small flesh-colored bump outside my anus. It doesn't hurt when I press on it, and I don't feel any pain while walking. Could this be an external hemorrhoid?

Dr. Yu Mingchang reply Surgery
Hello, could you take a look at the colorectal department when you have time?

Identifying Anal Growths: Hemorrhoids or Tumors?

Hello, I would like to ask a question. Recently, I noticed a lump (about one centimeter in round shape) above my anus (on the inner side of the groin, requiring me to spread my buttocks apart). Usually, I don't feel anything, but I experience pain only when I clench my butto...

Dr. Lin Shaojie reply Surgery
Hello, Xiao Xie’s sister: Based on your description of the "tumor" located near the anus, it is likely hemorrhoids. Whether it is internal or external hemorrhoids needs to be determined by a physician. Generally, the symptoms of hemorrhoids can be categorized into two m...

Unusual Growth Near Anus: Is It Hemorrhoids or Something Else?

I found a strange growth at the anal opening that is usually not uncomfortable, and there is no pain or itching. I also haven't experienced any bleeding during bowel movements. Could this be hemorrhoids? 😭 (I have to sit for long periods due to work.)

Dr. Yu Mingchang reply Surgery
It should be referred to as polyps. Please take a moment to check with the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, as they care about your health.

Understanding Growths Near the Anus: Is It External Hemorrhoids?

Hello, doctor: I previously had hemorrhoids that were surgically removed, but now there is something growing next to the anus that enlarges when I squat and is pink in color, but shrinks when I stand up. Is this an external hemorrhoid? Thank you.

Dr. Ke Fangxu reply Surgery
The most likely possibility is hemorrhoids, but it could also be rectal mucosal prolapse. If it does not affect daily life and there is no bleeding, treatment may not be necessary. However, it is still advisable to consult a physician for a definitive diagnosis to ensure peace of...