a Round Bump Near the Anus: Causes and Treatments - Surgery

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There is a round growth at the anal opening?


Hello doctor, I have noticed a round lump at the opening of my anus over the past couple of days.
It feels a bit hard when pressed, but it is not painful or itchy, and its color is similar to the surrounding skin.
I am unsure what it could be.
Should I apply an over-the-counter topical ointment, or will it resolve on its own?

Niming, 20~29 year old female. Ask Date: 2018/06/27

Dr. Ke Fangxu reply Surgery


The exact issue cannot be accurately diagnosed without a personal examination by a physician.
Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts are all possibilities.
However, based on your description, it seems more like a thrombosed external hemorrhoid.
If the application of ointment does not improve the condition, it is advisable to consult a physician for an examination to avoid delaying treatment and worsening the condition.

Reply Date: 2018/06/27

More Info


When you notice a round bump near the anus, it can be concerning, especially if it feels firm but is not painful or itchy. There are several potential causes for such a bump, and understanding these can help determine the best course of action.


Possible Causes
1. Hemorrhoids: One of the most common causes of bumps around the anus is hemorrhoids, which are swollen veins in the lower rectum or anus. They can be internal or external. External hemorrhoids can feel like a lump and may be firm to the touch. They are often painless unless a blood clot forms.

2. Anal Warts: Caused by the human papillomavirus (HPV), anal warts can appear as small, flesh-colored bumps. They may not cause pain or discomfort initially but can be contagious.

3. Skin Tags: These are benign growths that can occur around the anus. They are usually painless and may feel firm. Skin tags are often a result of friction or irritation.

4. Abscess: An anal abscess is a collection of pus that can occur due to infection. While these are typically painful, some may present as a firm bump without significant discomfort initially.

5. Fistula: An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus. It can cause a bump, and while it may not be painful, it often requires medical evaluation.

6. Other Conditions: Less commonly, conditions such as cysts or tumors can present as bumps near the anus. These may require further investigation.


Treatment Options
Given that the bump is not painful or itchy, it might not require immediate treatment. However, here are some general guidelines:
- Observation: If the bump is not causing any discomfort, it may be reasonable to monitor it for a few days to see if it changes in size or symptoms develop.

- Topical Treatments: Over-the-counter creams or ointments designed for hemorrhoids may provide relief if the bump is indeed a hemorrhoid. These can help reduce inflammation and discomfort.

- Warm Baths: Soaking in warm water can help soothe the area and may promote healing if the bump is related to hemorrhoids or irritation.

- Avoiding Irritation: Wear loose-fitting clothing and avoid straining during bowel movements to prevent further irritation.


When to Seek Medical Attention
If the bump persists, increases in size, or if you develop additional symptoms such as pain, bleeding, or changes in bowel habits, it is essential to consult a healthcare professional. A doctor can perform a physical examination and may recommend further tests, such as imaging or a biopsy, to determine the exact nature of the bump.


Conclusion
While it is tempting to self-treat with topical medications, it is crucial to understand the underlying cause of the bump. If it is a hemorrhoid, skin tag, or something more serious, the treatment approach will differ significantly. Therefore, if you have any doubts or if the bump does not resolve, seeking medical advice is the best course of action. Remember, early diagnosis and treatment can prevent complications and provide peace of mind.

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