Anal Masses: Causes and When to Seek Help - Surgery

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Anal masses can be a source of concern for many individuals, especially when they are discovered in a sensitive area like the anus. It's important to understand that not all anal masses are indicative of serious health issues, but they should still be evaluated by a healthcare professional to rule out any potential problems.


Common Causes of Anal Masses
1. Hemorrhoids: These are swollen blood vessels in the rectal area that can cause lumps. They can be internal or external and may not always be painful or itchy.

2. Anal Warts: Caused by the human papillomavirus (HPV), these growths can appear around the anus and may be mistaken for other types of masses.

3. Fistulas: An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus. It can lead to the formation of a lump.

4. Abscesses: An anal abscess is a collection of pus that can form due to infection. While these are often painful, some may not present with significant discomfort initially.

5. Skin Tags: These are benign growths that can occur around the anal area, often as a result of previous irritation or friction.

6. Tumors: Although less common, both benign and malignant tumors can develop in the anal region. It is crucial to have any new or changing masses evaluated by a healthcare provider.


When to Seek Help
Given that you have had this mass since middle school without any pain or discomfort, it may not be an immediate cause for alarm. However, it is essential to monitor any changes in size, shape, or symptoms associated with the mass. You should seek medical attention if you experience:
- Pain or discomfort in the anal area
- Changes in bowel habits (such as bleeding, changes in stool consistency, or difficulty passing stool)
- Any changes in the mass itself (such as increased size, color change, or ulceration)
- Symptoms of infection (such as fever, increased redness, or swelling)

Which Specialist to See
For an anal mass, the best course of action is to consult a gastroenterologist or a colorectal surgeon. These specialists are trained to evaluate and treat conditions related to the gastrointestinal tract and the anal area. They can perform a thorough examination, which may include a physical examination and possibly imaging studies or a biopsy if necessary.


Conclusion
While the mass you describe may not currently be causing any issues, it is always wise to have such findings evaluated by a healthcare professional. Early assessment can help alleviate concerns and ensure that any necessary treatment is provided. Remember, maintaining open communication with your healthcare provider about any changes or concerns is crucial for your health and peace of mind. Don't hesitate to make an appointment; your health is worth it!