Anal Growths: Is It Hemorrhoids or Something Else?

Growths near the anus?

Hello doctor, I have been experiencing itching around my anus during bowel movements for the past couple of days.
Today, while showering, I noticed a small protruding lump near my anus that feels itchy but not painful.
Could this be hemorrhoids? Do I need to see a doctor for my condition, or will it resolve on its own? Thank you for your response.

Xiao Chen, 20~29 year old female. Ask Date: 2019/01/04

Dr. Ke Fangxu reply Surgery

This condition is most likely a small thrombosed external hemorrhoid, which typically resolves on its own within 1-2 weeks.
Over-the-counter hemorrhoid creams can be applied for relief.
However, if symptoms persist without improvement or if there is pain or fever, it is important to consult a physician for evaluation and treatment.

Reply Date: 2019/01/04

More Info

When it comes to anal growths, particularly those that cause itching and discomfort, it is essential to consider a few possibilities. Based on your description of experiencing itching during bowel movements and discovering a small protruding growth near the anus, it is reasonable to suspect that you may be dealing with hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding. They can be classified as either internal or external, depending on their location.

Internal hemorrhoids are located inside the rectum and are typically not visible or palpable. They may cause bleeding during bowel movements but are usually painless. External hemorrhoids, on the other hand, are located under the skin around the anus and can be felt as lumps. They may cause itching, pain, and discomfort, especially during bowel movements.

The fact that you mentioned the growth feels like a "small protruding flesh lump" and is itchy but not painful aligns with the characteristics of external hemorrhoids. However, there are other conditions that could present similarly, such as anal warts, skin tags, or even more serious conditions like anal fissures or abscesses.

It is important to note that while hemorrhoids can often resolve on their own, especially if they are mild and related to temporary factors such as constipation or straining during bowel movements, persistent symptoms warrant a medical evaluation. If the growth continues to itch, increases in size, or if you experience any bleeding, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and possibly recommend further diagnostic tests to rule out other conditions.

In terms of treatment, if it is indeed hemorrhoids, lifestyle changes such as increasing fiber intake, staying hydrated, and avoiding straining during bowel movements can be beneficial. Over-the-counter topical treatments may also provide relief from itching and discomfort. However, if the hemorrhoids are severe or do not respond to conservative measures, medical procedures such as rubber band ligation or surgical removal may be necessary.

In conclusion, while your symptoms may suggest hemorrhoids, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and improve your quality of life. If you are experiencing significant discomfort or if the symptoms persist, do not hesitate to make an appointment with your doctor. They can provide you with the best course of action based on a thorough evaluation of your condition.

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