Is This a Hemorrhoid? Symptoms and When to Seek Help

Is this a mole or a cyst?

A round lump has suddenly appeared next to the anus, causing a feeling of a foreign body, but there is no pain.
Is this a hemorrhoid? Will it resolve on its own, or is medical attention needed? Which specialty should I consult?

mei, 20~29 year old female. Ask Date: 2002/09/30

Dr. Song Zhixian reply Urology

This is an external mole with blood vessels and blood clots inside, which may gradually be absorbed over time.
If the lump persists and is painful, surgical removal may be performed.
You can schedule an appointment at a surgical outpatient clinic or a urology outpatient clinic.

Reply Date: 2002/09/30

More Info

When you notice a round lump near the anus that feels like a foreign body but is not painful, it can indeed be concerning. The symptoms you describe could potentially indicate a hemorrhoid, but there are other possibilities as well. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding. They can be classified as either internal or external, depending on their location. External hemorrhoids are located under the skin around the anus and can sometimes form a lump that may feel like a small ball.

However, not all lumps near the anus are hemorrhoids. Other conditions, such as anal warts, skin tags, or even more serious issues like anal fissures or tumors, can present similarly. Therefore, it is crucial to have a proper evaluation by a healthcare professional to determine the exact nature of the lump.

Regarding your question about whether this lump will resolve on its own, it depends on the underlying cause. Some external hemorrhoids may shrink and resolve without treatment, especially if lifestyle changes are made, such as increasing fiber intake, staying hydrated, and avoiding prolonged sitting. However, if the lump is due to a more serious condition, it may require medical intervention.

As for when to seek help, if you notice any of the following symptoms, it is advisable to consult a healthcare provider:
1. Persistent Lump: If the lump does not go away after a few days or worsens.

2. Bleeding: If you experience any bleeding during bowel movements or see blood on the toilet paper or in the stool.

3. Pain or Discomfort: If the lump becomes painful or causes significant discomfort.

4. Changes in Bowel Habits: If you notice changes in your bowel habits, such as diarrhea or constipation that lasts for an extended period.

5. Other Symptoms: If you experience any other concerning symptoms, such as weight loss, fever, or changes in appetite.

In terms of which specialist to see, a visit to a gastroenterologist or a colorectal surgeon would be appropriate. These specialists are trained to diagnose and treat conditions related to the gastrointestinal tract, including the anus and rectum. They can perform a thorough examination, which may include a physical exam and possibly imaging studies or a colonoscopy if necessary.

In summary, while the lump you describe could be a hemorrhoid, it is essential to have it evaluated by a healthcare professional to rule out other conditions and determine the appropriate course of action. Early intervention can lead to better outcomes and peace of mind. Don't hesitate to seek help, as addressing these symptoms sooner rather than later can prevent complications and improve your overall health.

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