Unidentified Growths Around the Anus: Causes and Concerns - Surgery

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Foreign body in the anal canal?


In the past few days, after using the restroom, I noticed a lump at the anal opening.
When I touched it while showering, it felt like a cluster of small, sac-like structures.
I can pull it up without any pain, and there is no difficulty with bowel movements.
I'm just unsure about what it could be.
I later noticed that it has been increasing in number, but it is still painless.
Occasionally, I notice a small amount of blood when wiping, resembling faint blood stains.

Liu Xiaodong, 20~29 year old female. Ask Date: 2016/12/04

Dr. Yu Mingchang reply Surgery


Hello; please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.

Reply Date: 2016/12/04

More Info


Understanding unidentified growths around the anus can be concerning, and it’s important to approach this issue with a clear understanding of potential causes and necessary actions. The symptoms you describe—lumps around the anus that feel like small, soft, cyst-like structures, along with occasional light bleeding—could be indicative of several conditions, some of which may require medical attention.

One common cause of such growths is the presence of hemorrhoids, which are swollen veins in the lower rectum and anus. They can be internal or external and may lead to symptoms such as lumps, itching, and bleeding during bowel movements. While hemorrhoids are generally not serious, they can cause discomfort and may require treatment if they become painful or lead to significant bleeding.

Another possibility is anal warts, which are caused by the human papillomavirus (HPV). These growths can appear as small, soft lumps around the anus and may vary in size. They are usually painless but can sometimes cause itching or bleeding. If you suspect anal warts, it is advisable to consult a healthcare provider for diagnosis and potential treatment options.

Skin tags are another benign condition that can occur around the anal area. These are small, soft, flesh-colored growths that can develop due to friction or irritation. They are generally harmless and do not require treatment unless they become bothersome.

In some cases, the growths could be indicative of sebaceous cysts, which are non-cancerous lumps filled with a fatty substance. These cysts can occur anywhere on the body, including the anal region, and are typically painless unless they become infected.

However, the presence of blood, even in small amounts, is a symptom that should not be ignored. While it may be related to benign conditions like hemorrhoids, it can also be a sign of more serious issues, such as anal fissures, which are small tears in the lining of the anus, or even more serious conditions like anal cancer or inflammatory bowel disease.
Given the variety of potential causes, it is crucial to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend further tests, such as a colonoscopy, to rule out any serious underlying conditions. They can also provide guidance on appropriate treatment options based on the diagnosis.

In summary, while the growths you are experiencing may be benign, the presence of blood and the increase in size warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment can help alleviate symptoms and prevent potential complications. If you have not already done so, please schedule an appointment with a healthcare provider to discuss your symptoms in detail. They can provide you with the necessary care and peace of mind.

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