Anal Bumps: Are They Hemorrhoids or Something Else? - Surgery

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Understanding anal bumps can be quite concerning, especially when accompanied by discomfort during bowel movements. Based on your description of having two small bumps near the anal area that cause pain during defecation, it is essential to consider several possibilities, including hemorrhoids, anal fissures, or other conditions.

Hemorrhoids are swollen veins in the lower rectum or anus, similar to varicose veins. They can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually do not cause pain unless they prolapse outside the anus. External hemorrhoids, on the other hand, are located under the skin around the anus and can be painful, especially when a blood clot forms (thrombosed hemorrhoid). Given that you mentioned the bumps are painful during bowel movements, it is possible that you may be experiencing external hemorrhoids.

Anal fissures are another potential cause of pain during bowel movements. They are small tears in the lining of the anus, often caused by passing hard stools or straining during bowel movements. Fissures can cause sharp pain and sometimes bleeding, but you mentioned that there has been no bleeding, which may make this less likely.

Other conditions that could cause anal bumps include perianal abscesses, which are collections of pus that can occur due to infection, or skin tags, which are benign growths that can develop around the anal area. In rare cases, more serious conditions such as anal warts (caused by the human papillomavirus) or even anal cancer could present as bumps, but these are less common.

Given that you have experienced loose stools for several days, it is possible that the irritation from frequent bowel movements could be exacerbating the pain and discomfort associated with the bumps. The application of a topical ointment, such as the one you mentioned (喜癒痣軟膏), may provide temporary relief by soothing the area and reducing inflammation.

In terms of severity, while hemorrhoids and anal fissures can be uncomfortable, they are generally not serious and can often be managed with conservative treatment. This includes:
1. Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help form softer stools and reduce straining during bowel movements.

2. Hydration: Drinking plenty of water can also aid in preventing constipation.

3. Sitz Baths: Soaking the anal area in warm water for 10-15 minutes several times a day can help relieve pain and promote healing.

4. Topical Treatments: Over-the-counter creams or ointments designed for hemorrhoids can provide relief from pain and itching.

5. Avoid Straining: It is important to avoid straining during bowel movements, as this can worsen the condition.

If the bumps persist, worsen, or if you experience significant pain, bleeding, or changes in bowel habits, it is crucial to consult a healthcare professional for a thorough examination. A doctor can provide a definitive diagnosis and recommend appropriate treatment options based on your specific condition.

In summary, while the bumps you are experiencing may likely be hemorrhoids or anal fissures, it is essential to monitor your symptoms and seek medical advice if they do not improve or if you have any concerns. Early intervention can help prevent complications and ensure effective management of your symptoms.