Painful Lump Near Anus with Blood in Stool: What to Know

There is a painful round lump at the anal opening, accompanied by blood in the stool?

Hello doctor, I often clean myself with water and body wash during bowel movements.
After defecating, I occasionally feel like I haven't completely emptied my bowels.
Recently, I discovered a soft, painful lump at the anal opening, which also hurts when sitting.
My bowel movements have taken longer, and I experienced diarrhea a while ago.
I noticed blood when wiping my bottom, and I'm unsure if it's from that lump or if there's bleeding in the intestines.
Yesterday, I saw bright red blood on my stool, and there was also a faint trace of blood in my urine (the same color as the blood on the stool).
I'm worried it might be colorectal cancer.
I read that the likelihood is lower in younger individuals, but since I am overweight, it seems my risk might be higher.
Thank you.

W, 20~29 year old female. Ask Date: 2018/01/31

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may help alleviate symptoms, and you can also purchase over-the-counter hemorrhoidal suppositories or use stool softeners, but it is best not to take medications indiscriminately.
Although the risk of developing colorectal cancer at the age of 20 is not zero, it is generally very low.
It is advisable to maintain a light diet and a good lifestyle routine, avoiding spicy, irritating, and greasy foods.
Increasing dietary fiber intake can also be beneficial.
If symptoms persist without improvement, you may consult a physician for medication or consider undergoing a colonoscopy.

Reply Date: 2018/01/31

More Info

It sounds like you're experiencing some concerning symptoms, and it's important to address them properly. Based on your description, you have a painful lump near your anus, blood in your stool, and changes in your bowel habits. Let's break down these symptoms and discuss what they might indicate, as well as the steps you should take.

Possible Causes of Your Symptoms
1. Hemorrhoids: One of the most common causes of a painful lump near the anus is hemorrhoids. These are swollen veins in the lower rectum and anus that can cause discomfort, especially during bowel movements. Hemorrhoids can also lead to bleeding, which may explain the blood you see in your stool or on toilet paper.

2. Anal Fissures: Another possibility is an anal fissure, which is a small tear in the lining of the anus. This can cause sharp pain during bowel movements and may also lead to bleeding.

3. Abscess or Fistula: A painful lump could also be an abscess (a collection of pus) or a fistula (an abnormal connection between the anus and the skin). Both conditions can cause significant discomfort and may require medical intervention.

4. Infections: Infections in the anal area can also lead to lumps and pain, along with potential bleeding.

5. Colorectal Issues: While less common in younger individuals, conditions such as polyps or even colorectal cancer can cause similar symptoms, especially if there is a family history or other risk factors involved.

What to Do Next
Given the symptoms you are experiencing, it is crucial to seek medical attention as soon as possible. Here are the steps you should take:
1. Consult a Healthcare Provider: Make an appointment with a healthcare professional, preferably a gastroenterologist or a colorectal surgeon. They can perform a thorough examination, which may include a digital rectal exam, anoscopy, or colonoscopy, to determine the cause of your symptoms.

2. Document Your Symptoms: Keep a record of your symptoms, including when they started, their frequency, and any other changes in your bowel habits, diet, or lifestyle. This information will be helpful for your healthcare provider.

3. Avoid Self-Diagnosis: While it’s natural to search for answers online, self-diagnosing can lead to unnecessary anxiety. Rely on professional medical advice for an accurate diagnosis.

4. Dietary Considerations: In the meantime, consider adjusting your diet to include more fiber, which can help ease bowel movements and reduce strain. Staying hydrated is also essential.

5. Avoid Straining: Try not to strain during bowel movements, as this can exacerbate hemorrhoids or fissures. If you're experiencing constipation, consider using over-the-counter stool softeners or fiber supplements after consulting with your doctor.

Conclusion
While your symptoms could be related to common conditions like hemorrhoids or anal fissures, the presence of blood in your stool is a sign that you should seek medical evaluation promptly. Early diagnosis and treatment are key to managing any potential issues effectively. Remember, your health is paramount, and addressing these symptoms with a healthcare professional is the best course of action.

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