What Could a Hard Lump Near Your External Hemorrhoid Indicate?

There is a hard mass near the anal opening (next to an external hemorrhoid)?

Hello! I have a question to ask.
I have external hemorrhoids, which I believe are grade II.
They appear when I exert myself and return to their original position after a bowel movement.
Currently, I am applying hemorrhoid ointment.
However, in the past two days, I have felt a hard lump about the size of a BB pellet near the anus (just beside the external hemorrhoid).
When I squeeze it, it feels like there is a small hard ball inside.
It is painful, but there is no bleeding or discharge.
It appears to be just a small lump.
What could this be? Here is the link to the photo: https://drive.google.com/open?id=0BzA0KJ3M5bqaLVJacjFnc3QzOXM

Niming, 30~39 year old female. Ask Date: 2016/07/30

Dr. Ke Fangxu reply Surgery

This condition is likely a thrombosed external hemorrhoid.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths should also help alleviate symptoms.
You can purchase over-the-counter hemorrhoid suppositories and use stool softeners, but it is best not to take them indiscriminately.
At this age, increasing the intake of dietary fiber and fluids should be sufficient.
If pain and swelling persist, it is advisable to consult a physician for evaluation.

Reply Date: 2016/07/30

More Info

When you discover a hard lump near your external hemorrhoid, it can be concerning, especially if you are already experiencing symptoms related to hemorrhoids. There are several potential explanations for this lump, and understanding them can help you decide on the next steps for your health.

Firstly, the lump could be a thrombosed hemorrhoid. This occurs when a blood clot forms within an external hemorrhoid, leading to a hard, painful lump. Thrombosed hemorrhoids are often associated with significant discomfort, especially during bowel movements or when sitting. They can appear as a bluish or purplish lump and may feel firm to the touch. While they can be painful, they typically do not cause bleeding unless they rupture.

Another possibility is a skin tag, which can develop after the resolution of a hemorrhoid. Skin tags are benign growths that can feel firm and may be sensitive, but they are not usually painful unless irritated. They often appear as small, soft lumps near the anal area.

Additionally, the lump could represent an anal abscess. An abscess is a collection of pus that can occur due to infection, and it may present as a painful, swollen area. Abscesses can sometimes be accompanied by fever or systemic symptoms, and they typically require medical intervention for drainage.

In some cases, the lump could be indicative of a more serious condition, such as anal warts or even anal cancer, particularly if it persists or changes in appearance. While these conditions are less common, they underscore the importance of seeking medical evaluation.

Given that you are experiencing pain and have noticed a new lump, it is advisable to consult with a healthcare professional. They can perform a physical examination and may recommend further diagnostic tests, such as an ultrasound or biopsy, if necessary. It is crucial to rule out any serious conditions and to receive appropriate treatment for your symptoms.

In the meantime, continue to manage your hemorrhoids with over-the-counter treatments, such as topical creams or ointments, and maintain a high-fiber diet to prevent straining during bowel movements. Staying hydrated and using stool softeners can also help alleviate pressure on the anal area.

In summary, while the lump near your external hemorrhoid could be a thrombosed hemorrhoid, skin tag, or abscess, it is essential to have it evaluated by a healthcare provider to determine the exact cause and appropriate treatment. Early intervention can help prevent complications and improve your overall comfort.

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