Painful Growth Near the Anus: Causes and Treatments - Surgery

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A small growth of tissue outside the anus?


Hello! My symptoms include a small lump outside the anus that hurts when pressed.
I also experience pain during bowel movements, especially when the stool is hard, which can lead to bleeding.
Passing stool causes pain as it stretches the anal area.
Will applying medication help?

ts01567605, 20~29 year old female. Ask Date: 2017/10/01

Dr. Yu Mingchang reply Surgery


Hello; please take some time to consult with a colorectal specialist to check for anal fissures.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2017/10/01

More Info


Understanding painful growths near the anus can be concerning and uncomfortable. Based on your description, it sounds like you may be experiencing symptoms related to a condition such as hemorrhoids, anal fissures, or possibly a skin tag or other benign growth. Let's break down the potential causes, symptoms, and treatments for your situation.


Potential Causes
1. Hemorrhoids: These are swollen veins in the lower rectum and anus that can cause pain, discomfort, and bleeding during bowel movements. They can be internal (inside the rectum) or external (under the skin around the anus).

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain during and after bowel movements, and may also cause bleeding.

3. Skin Tags: These are small, benign growths that can occur around the anus. They are usually painless unless they become irritated or inflamed.

4. Other Growths: Occasionally, other types of growths, such as warts or polyps, can occur in the anal area, which may require further evaluation.


Symptoms
From your description, the symptoms include:
- Pain when pressing on the area or during bowel movements.

- Bleeding, especially when passing hard stools.

- Discomfort when the anal area is stretched during bowel movements.


Treatment Options
1. Topical Treatments: Over-the-counter creams or ointments can help relieve pain and inflammation. Products containing hydrocortisone can reduce swelling and discomfort. If hemorrhoids are the issue, specific hemorrhoid creams may provide relief.

2. Dietary Changes: To prevent hard stools, it’s essential to maintain a diet high in fiber. Incorporating fruits, vegetables, whole grains, and plenty of water can help soften stools and make bowel movements easier.

3. Sitz Baths: Soaking the anal area in warm water for 10-15 minutes several times a day can help soothe pain and promote healing.

4. Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain.

5. Avoid Straining: Straining during bowel movements can exacerbate symptoms. If you find it difficult to pass stools, consider using a stool softener or a fiber supplement.

6. Medical Evaluation: If symptoms persist or worsen, it’s crucial to consult a healthcare professional. They may perform a physical examination and possibly recommend procedures such as rubber band ligation for hemorrhoids or other interventions if necessary.


When to Seek Medical Attention
- If you experience significant bleeding that does not stop.

- If the pain is severe and does not improve with home treatments.

- If you notice any changes in bowel habits or if the growth changes in size or appearance.


Conclusion
While topical treatments may provide some relief, addressing the underlying causes through dietary changes and proper bowel habits is essential for long-term management. If your symptoms do not improve or if you have concerns about the growth, it’s important to seek medical advice for a thorough evaluation and tailored treatment plan. Remember, early intervention can prevent complications and improve your quality of life.

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