a Hard Lump Near the Anus: When to Seek Medical Advice - Surgery

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A round, firm mass measuring about one to two centimeters has been palpated near the anal blood vessels?


I felt a round, hard lump about one to two centimeters in size near the blood vessel next to my anus while showering.
After showering, it was gone when I checked again.
Previously, I had used hemorrhoid suppositories, and it seemed that my long nails may have injured the area during insertion, causing some swelling and pain.
What could this situation be? Should I see a doctor?

Mǒu rén, 20~29 year old female. Ask Date: 2018/10/07

Dr. Yu Mingchang reply Surgery


Hello: Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, which cares about you.

Reply Date: 2018/10/07

More Info


When you discover a hard lump near the anus, especially one that appears and disappears, it can be concerning. Based on your description, it seems that you may have experienced a transient condition that could be related to several factors, including hemorrhoids, anal fissures, or even a thrombosed hemorrhoid.
Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, pain, and sometimes bleeding. They can be internal or external, and when they become thrombosed, they can form a hard lump that may be painful. The fact that you previously used a suppository and may have inadvertently injured the area could have contributed to the swelling and pain you are experiencing.
Anal fissures, which are small tears in the lining of the anus, can also cause pain and discomfort, especially during bowel movements. If you have been experiencing pain and swelling after using a suppository, it is possible that you may have caused a minor injury to the anal area, leading to localized swelling.

Given that the lump you felt was not present after your shower, it may indicate that it was a temporary swelling or spasm of the surrounding tissues. However, it is essential to monitor the situation closely. If the lump reappears, persists, or is accompanied by other symptoms such as significant pain, bleeding, or changes in bowel habits, it is crucial to seek medical advice.

In general, you should consider seeing a healthcare provider if:
1. The lump persists or returns frequently.

2. You experience significant pain or discomfort.

3. There is noticeable bleeding from the anus.

4. You have changes in bowel habits, such as constipation or diarrhea.

5. You notice any other unusual symptoms, such as fever or systemic signs of infection.

A healthcare provider can perform a thorough examination, which may include a physical exam and possibly imaging studies if necessary, to determine the exact cause of the lump. They can also provide appropriate treatment options based on the diagnosis, which may include topical treatments, dietary changes, or in some cases, surgical interventions.

In the meantime, you can manage discomfort by:
- Taking warm baths to soothe the area.

- Using over-the-counter pain relievers, such as ibuprofen or acetaminophen, to alleviate pain.

- Ensuring a high-fiber diet to prevent constipation and reduce straining during bowel movements.

- Staying hydrated to help maintain regular bowel movements.

In conclusion, while the lump you felt may not be a cause for immediate alarm, it is essential to pay attention to your body and seek medical advice if symptoms persist or worsen. Early intervention can help prevent complications and ensure proper management of any underlying conditions.

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