Unusual Growth Near Anus: Is It Hemorrhoids or Something Else? - Surgery

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Are there granulation tissues at the anal opening?


I found a strange growth at the anal opening that is usually not uncomfortable, and there is no pain or itching.
I also haven't experienced any bleeding during bowel movements.
Could this be hemorrhoids? 😭 (I have to sit for long periods due to work.)

Chiu, 10~19 year old female. Ask Date: 2019/01/23

Dr. Yu Mingchang reply Surgery


It should be referred to as polyps.
Please take a moment to check with the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, as they care about your health.

Reply Date: 2019/01/23

More Info


When you discover an unusual growth near the anus, it can understandably cause concern. Based on your description, it seems that the growth is asymptomatic, meaning it does not cause pain, itching, or bleeding during bowel movements. This is an important factor to consider when evaluating the nature of the growth.

Hemorrhoids, which are swollen veins in the lower rectum and anus, can indeed present as lumps or growths near the anal area. They are typically classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually do not cause discomfort unless they prolapse or protrude outside the anus. External hemorrhoids, on the other hand, can be felt as lumps around the anal opening and may cause pain, especially if a blood clot forms within them.

However, given that you mentioned the growth is not painful or itchy, it may not be a typical case of hemorrhoids. Other possibilities for an unusual growth in that area could include:
1. Skin Tags: These are small, benign growths that can occur around the anus and are often painless. They can develop as a result of friction or irritation, especially in individuals who sit for prolonged periods.

2. Anal Warts: Caused by the human papillomavirus (HPV), anal warts can appear as small, flesh-colored or gray growths. They may not cause discomfort initially but can be a sign of an underlying viral infection.

3. Fistulas or Abscesses: These can develop due to infections or chronic inflammation in the anal area. While they may not always be painful, they can lead to complications if left untreated.

4. Other Benign Tumors: Conditions such as lipomas (fatty tumors) or other benign growths can also occur in the anal region.

5. Malignant Growths: Although less common, it is essential to consider the possibility of anal cancer, especially if there are changes in the growth over time or if new symptoms develop.

Given that you work in a job that requires prolonged sitting, it is not uncommon to develop skin tags or hemorrhoids due to increased pressure in the anal region. However, it is crucial to have any new or unusual growth evaluated by a healthcare professional. A thorough examination, possibly including a visual inspection and digital rectal exam, can help determine the nature of the growth.

In summary, while hemorrhoids are a possibility, the lack of symptoms such as pain or bleeding suggests that the growth may be something else, such as a skin tag or benign tumor. It is advisable to consult with a healthcare provider, preferably a gastroenterologist or a proctologist, who can provide a definitive diagnosis and recommend appropriate management. Regular check-ups and monitoring any changes in the growth are essential for maintaining anal health.

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