Anal Discomfort: What Could That Bump Be? - Surgery

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There is a lump in the anus?


Hello, six days ago after I went fishing, I noticed that my anus was red and burning.
I thought it might be due to being in the heat for too long while fishing.
After two days, I found that the pain was still very mild, but the redness had gone away, which I found strange.
I suspect it might be related to my recent weight loss, causing my stools to be a bit hard and requiring straining, but there is no pain or bleeding during bowel movements.
There is just a slight discomfort when sitting on the anal area.
Today, while applying medication, I felt a small lump near the anus that I can push in.
Could you please tell me what this situation might be and if I need to see a doctor?

Mr. Chen, 30~39 year old female. Ask Date: 2018/07/10

Dr. Xu Kaixi reply Surgery


Hello: Based on your description, the hard lump at the anal opening may be an external hemorrhoid with thrombosis.
It is recommended that you visit a surgical outpatient clinic for further examination and treatment.
Thank you for your inquiry.

Reply Date: 2018/07/10

More Info


Hello! It sounds like you're experiencing some discomfort in the anal area, which can be concerning. Based on your description, there are a few potential causes for the symptoms you're experiencing, and I'll try to provide some insights into what might be happening.

Firstly, the redness and burning sensation you felt after fishing could be due to a few factors. Prolonged sitting, especially in warm conditions, can lead to irritation of the skin around the anus. This irritation can manifest as redness and discomfort. Additionally, if you have been experiencing changes in your bowel habits, such as harder stools due to dieting, this can also contribute to anal discomfort. Straining during bowel movements can lead to minor injuries or irritation in the anal region, even if you haven't noticed any bleeding.

The small bump you mentioned could be a few different things. One possibility is a hemorrhoid, which is a swollen vein in the rectal area that can cause discomfort, especially if you have been straining during bowel movements. Hemorrhoids can be internal or external; external hemorrhoids are located under the skin around the anus and can be felt as a lump. They can become painful, especially if they are thrombosed (meaning a blood clot has formed inside them).

Another possibility is a skin tag, which is a small, benign growth of skin that can occur around the anal area. Skin tags are usually painless and can be pushed in or moved around. They are often a result of friction or irritation.

In some cases, anal fissures (small tears in the lining of the anus) can also cause discomfort, but these typically present with sharp pain during bowel movements and may be accompanied by bleeding.

Given that you have noticed a bump and are experiencing discomfort, it would be wise to consult with a healthcare professional. They can perform a physical examination to determine the exact nature of the bump and provide appropriate treatment options. While many anal conditions are benign and can be managed with lifestyle changes, topical treatments, or over-the-counter medications, it’s essential to rule out any more serious conditions.

In the meantime, here are a few recommendations to help alleviate your symptoms:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet to help soften your stools and prevent straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

2. Hydration: Drink plenty of water throughout the day to help keep your stools soft.

3. Warm Baths: Taking warm sitz baths can help soothe the area and reduce discomfort.

4. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can exacerbate any irritation.

5. Topical Treatments: Over-the-counter creams or ointments designed for hemorrhoids may provide relief from discomfort.

6. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, bleeding, or changes in bowel habits, and report these to your healthcare provider.

In conclusion, while your symptoms may be due to benign causes, it is always best to err on the side of caution and seek medical advice. A healthcare professional can provide a proper diagnosis and treatment plan tailored to your needs. Take care, and I hope you find relief soon!

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