Soft Lump Near Anus: What Could It Be? - Gastroenterology and Hepatology

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There is a soft lump on the anus?


During bathing, I felt a soft lump in the folds around the anus.
It is not painful or itchy, there is no bleeding during bowel movements, and I do not feel any foreign body.
What could it be?

mā, 10~19 year old female. Ask Date: 2017/09/17

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It could be skin folds, external moles, or sebaceous gland tumors (such as lesions related to acne).
If you still have concerns, it is recommended to consult a colorectal specialist at Changhua Hospital to address your health.
Dr.
Tsai An-shun.

Reply Date: 2017/09/17

More Info


A soft lump near the anus can be concerning, but it is important to remember that not all lumps or bumps in this area are indicative of serious health issues. Based on your description, there are a few possibilities for what this soft lump could be.
1. Hemorrhoids: One of the most common causes of lumps near the anus is hemorrhoids, which are swollen veins in the rectal area. They can be internal or external. External hemorrhoids can feel like a soft lump and may not cause pain or discomfort unless they become thrombosed (clotted), which can lead to pain and swelling.

2. Skin Tags: Another possibility is a skin tag, which is a small, benign growth of skin that can occur in various areas of the body, including around the anus. Skin tags are usually painless and soft to the touch, and they often do not require treatment unless they become irritated or bothersome.

3. Anal Abscess or Fistula: An anal abscess is a collection of pus that can occur near the anus, often due to infection. While these typically cause pain and discomfort, a fistula (an abnormal connection between the anal canal and the skin) can also present as a soft lump. However, these conditions usually come with other symptoms such as pain, swelling, or discharge.

4. Lipoma: A lipoma is a benign tumor made of fat tissue that can occur anywhere in the body, including near the anus. They are generally soft, movable, and painless.

5. Other Conditions: There are other less common conditions that could cause a lump near the anus, such as warts (caused by the human papillomavirus), cysts, or even certain types of tumors.
Given that the lump is soft, painless, and not associated with other symptoms like bleeding or itching, it is likely to be benign. However, it is crucial to monitor the lump for any changes in size, shape, or associated symptoms.

Recommendations:
- Observation: Keep an eye on the lump for any changes. If it becomes painful, grows, or if you develop other symptoms (like bleeding, itching, or changes in bowel habits), it would be wise to seek medical attention.

- Hygiene: Maintain good hygiene in the anal area to prevent any potential infections.

- Consult a Healthcare Provider: If you have any concerns or if the lump persists, it is advisable to consult a healthcare provider. They can perform a physical examination and may recommend further tests if necessary to determine the exact nature of the lump.


Conclusion:
While a soft lump near the anus can be alarming, many causes are benign and manageable. However, it is always best to err on the side of caution and consult with a healthcare professional for a proper diagnosis and peace of mind. Regular check-ups and being attentive to changes in your body are essential components of maintaining good health.

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