Anal Polyps and Bowel Movement Issues - Surgery

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Anal polyps, bowel movement issues?


I previously noticed that there seems to be a growth at my anal opening (the growth is not painful), and every time I strain during a bowel movement, it obstructs the passage, making it difficult to pass stool.
What could this phenomenon be? Additionally, is it normal to have mucus during bowel movements?

QAQ, 10~19 year old female. Ask Date: 2018/06/26

Dr. Xu Kaixi reply Surgery


Hello: The painless mass or foreign body at the anal opening may be hemorrhoidal tissue; the presence of mucus with stool is not a normal condition.
It is recommended that you visit a surgical outpatient clinic for a thorough examination.
Thank you for your inquiry.

Reply Date: 2018/06/26

More Info


Anal polyps are growths that can develop in the anal canal or rectum. They can vary in size and may be flat or raised. While many anal polyps are benign (non-cancerous), they can cause symptoms that may lead to discomfort during bowel movements. The presence of a polyp can obstruct the passage of stool, leading to difficulty in defecation, as you have described.
When you mention that there is a "meat" or growth at the anal opening that obstructs bowel movements, it is possible that you are experiencing an anal polyp or perhaps a hemorrhoid. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, especially during bowel movements. They can also lead to the sensation of a lump or mass at the anal opening.
The presence of mucus during bowel movements can be normal to some extent. The intestines produce mucus to help lubricate the stool as it passes through the digestive tract. However, if you notice an increase in mucus, especially if it is accompanied by other symptoms such as blood in the stool, significant pain, or changes in bowel habits, it is important to consult a healthcare professional.
In your case, the combination of difficulty passing stool and the presence of mucus may warrant further investigation. A healthcare provider may recommend a physical examination, and possibly a colonoscopy or sigmoidoscopy, to visualize the anal canal and rectum. This can help determine the nature of the growth and whether it is a polyp, hemorrhoid, or another condition.

It is also important to consider lifestyle factors that may contribute to your symptoms. A diet low in fiber can lead to constipation, which may exacerbate the difficulty in passing stool and increase pressure in the anal area, potentially leading to the development of hemorrhoids or aggravating existing polyps. Increasing dietary fiber, staying hydrated, and engaging in regular physical activity can help promote regular bowel movements and reduce strain during defecation.

If you are experiencing significant discomfort or if the growth is causing persistent issues with bowel movements, it is advisable to seek medical attention. A healthcare provider can offer guidance on treatment options, which may include dietary modifications, medications to soften stool, or in some cases, surgical removal of the polyp or hemorrhoid if necessary.

In summary, the growth you are experiencing at the anal opening could be an anal polyp or hemorrhoid, both of which can cause difficulty with bowel movements. The presence of mucus can be normal, but if it is excessive or accompanied by other concerning symptoms, further evaluation is warranted. It is essential to maintain a healthy diet and lifestyle to support digestive health and minimize symptoms. Always consult with a healthcare professional for personalized advice and treatment options.

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