Is There a Hard Lump Near the Anus? When to See a Doctor - Surgery

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There is a hard mass near the anus?


Hello, I recently noticed a foreign object near my anus while showering.
It is not visible from the outside, does not cause any pain, and my bowel movements are normal.
Should I see a doctor about this?

Yi Yi, 20~29 year old female. Ask Date: 2016/10/26

Dr. Ke Fangxu reply Surgery


Based on your description, it seems to be a small thrombosed hemorrhoid.
As long as it hasn't increased in size, is not painful, and there is no fever, it should not be a concern.
However, without a personal examination, I cannot provide a definitive diagnosis.
If the symptoms persist or worsen, it is advisable to consult a physician for an evaluation.

Reply Date: 2016/10/26

More Info


When it comes to noticing a hard lump near the anus, it is essential to approach the situation with caution, even if there are no immediate symptoms such as pain or changes in bowel habits. The presence of a lump in this area can be attributed to various conditions, some of which may require medical attention.

Firstly, it is important to understand that lumps near the anus can arise from several causes. Common possibilities include:
1. Hemorrhoids: These are swollen blood vessels in the rectal area that can form lumps. They can be internal or external and may not always be painful. However, they can cause discomfort, itching, or bleeding during bowel movements.

2. Anal Abscess: This is a collection of pus that can form near the anus due to infection. While it may not always be painful initially, it can lead to significant discomfort and other symptoms if left untreated.

3. Anal Fissures: These are small tears in the lining of the anus that can create a lump-like appearance. They are often associated with pain during bowel movements.

4. Skin Tags: These are benign growths that can occur around the anus and may feel like lumps. They are usually harmless but can be bothersome.

5. Tumors: While less common, lumps can also be indicative of more serious conditions, such as anal or rectal tumors. These may not present with symptoms initially but can lead to complications if not addressed.

Given that you mentioned the lump is hard, not visible, and painless, it is still advisable to consult a healthcare professional. Here are some reasons why seeing a doctor is recommended:
- Assessment: A healthcare provider can perform a physical examination to determine the nature of the lump. This may include a digital rectal exam or other diagnostic tests as needed.

- Monitoring: Even if the lump is not causing any immediate issues, it is essential to monitor any changes. If the lump grows, becomes painful, or if you experience any other symptoms (such as bleeding, changes in bowel habits, or unexplained weight loss), it is crucial to seek medical attention promptly.

- Peace of Mind: Consulting a doctor can provide reassurance and help rule out any serious conditions. Early diagnosis and treatment can be vital in managing any potential issues effectively.

In summary, while the absence of pain and normal bowel habits may suggest that the lump is not an immediate concern, it is still prudent to seek medical advice. A healthcare professional can provide a thorough evaluation and guide you on the appropriate next steps. Remember, it is always better to err on the side of caution when it comes to health matters, especially in sensitive areas like the anal region.

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