Pain Near Anus When Exposed to Water: Should You See a Doctor? - Gastroenterology and Hepatology

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Experiencing pain near the anus, especially when exposed to water, can be concerning and warrants careful consideration. Based on your description, it seems that you are experiencing a localized pain on the left side of the anus, which is exacerbated when using a bidet or washing with water. The sensation of a small polyp and the presence of minor blood when wiping are also notable symptoms.
Given your history of hemorrhoids, it is possible that what you are experiencing could be related to this condition. Hemorrhoids can sometimes present with pain, especially during bowel movements or when the area is irritated by water or wiping. However, the presence of a "small polyp" sensation and the bleeding, even if minor, could indicate other issues such as anal fissures, skin tags, or even more serious conditions like anal warts or polyps.

Here are some considerations regarding your symptoms:
1. Hemorrhoids: Since you have a history of hemorrhoids, it is plausible that they could be reoccurring. Hemorrhoids can cause discomfort, especially when irritated by moisture or wiping. They can also bleed, although the amount of blood you describe seems minimal.

2. Anal Fissures: These are small tears in the lining of the anus that can cause sharp pain, especially during bowel movements or when the area is cleaned. They can also bleed, often resulting in bright red blood on toilet paper.

3. Skin Tags or Polyps: The sensation of a small polyp could indicate a skin tag or a benign growth. These are usually not painful unless they become irritated.

4. Infections or Other Conditions: Conditions such as infections, sexually transmitted infections, or even inflammatory bowel disease can cause localized pain and bleeding.
5. Cancer: While less common, it is important to consider that any new growth or persistent symptoms should be evaluated to rule out anal cancer, especially if there are changes in bowel habits or other concerning symptoms.

Given the potential for various conditions, it is advisable to see a healthcare provider for a thorough evaluation. A doctor can perform a physical examination, which may include a digital rectal exam, and possibly recommend further tests such as an anoscopy or colonoscopy if necessary.
In the meantime, here are some self-care tips you can consider:
- Avoid Irritation: Be gentle when cleaning the area. Consider using moist wipes instead of dry toilet paper to minimize irritation.

- Warm Baths: Soaking in warm water can help soothe the area and may provide relief from discomfort.

- Over-the-Counter Treatments: There are topical treatments available for hemorrhoids that can help reduce pain and inflammation.

- Dietary Changes: Ensure you are consuming a high-fiber diet to prevent constipation, which can exacerbate hemorrhoids and anal fissures.

In conclusion, while your symptoms may not indicate a severe condition, the presence of pain and bleeding should not be ignored. It is always better to err on the side of caution and consult a healthcare professional for a proper diagnosis and treatment plan. Early intervention can often prevent more serious complications and provide you with peace of mind.