Bumps Near the Anus: When to Seek Medical Attention - Surgery

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There is a protrusion near the anus?


Hello doctor, I recently had a cold and sinusitis, and I've been taking antibiotics for almost a week, but I've been experiencing diarrhea.
My doctor mentioned that it could be a side effect of the antibiotics.
I go to the bathroom about four to five times a day, and I have already stopped taking the medication.
However, I noticed that when I wipe after using the toilet, I feel a raised area near my anus.
I inserted my finger a little to check and felt a small round bump close to the anal opening.
Should I get this checked immediately, or could it be related to the frequent wiping due to diarrhea? I had a colonoscopy about a year and a half ago, and no abnormalities were found.

Mr. Lin, 30~39 year old female. Ask Date: 2019/11/07

Dr. Ke Fangxu reply Surgery


This is likely an acute thrombosed hemorrhoid caused by diarrhea.
Applying an external hemorrhoid ointment should suffice.
Since a colonoscopy was performed a year and a half ago, there is no urgent need for another examination.

Reply Date: 2019/11/07

More Info


It sounds like you are experiencing some discomfort and concern regarding a bump near your anus, especially after a recent episode of diarrhea and antibiotic use. It's understandable to feel anxious about any new symptoms, particularly in sensitive areas. Let's break down your situation and discuss when it might be necessary to seek medical attention.

First, it's important to recognize that the use of antibiotics can lead to gastrointestinal disturbances, including diarrhea. This is often due to the disruption of the normal gut flora, which can result in an imbalance that may lead to symptoms like diarrhea. Frequent bowel movements and the associated wiping can indeed cause irritation or even minor trauma to the skin around the anus, potentially leading to the formation of small bumps or hemorrhoids.

The bump you described could be several things. Common possibilities include:
1. Hemorrhoids: These are swollen veins in the rectal area that can become inflamed and cause discomfort. They can be internal or external, and external hemorrhoids can sometimes be felt as small lumps near the anus.

2. Anal Fissures: These are small tears in the lining of the anus that can occur due to straining during bowel movements, especially if you have been experiencing diarrhea. They can cause pain and may be accompanied by a small lump or skin tag.

3. Skin Tags: These are benign growths that can occur around the anal area, often as a result of previous irritation or trauma.

4. Infections or Abscesses: In some cases, a bump could indicate an infection or abscess, which may require medical treatment.

Given that you had a colonoscopy a year and a half ago with no abnormalities found, it is less likely that this bump is related to a serious underlying condition. However, any new or unusual growth should be evaluated, especially if it persists, changes in size, or is accompanied by other symptoms such as pain, bleeding, or changes in bowel habits.


When to Seek Medical Attention
You should consider seeking medical attention if:
- The bump does not improve or worsens over the next few days.

- You experience significant pain, bleeding, or discharge from the bump.

- You develop fever or other systemic symptoms.

- You have a history of anal or colorectal issues that may warrant further investigation.


What to Expect During a Medical Evaluation
If you decide to see a healthcare provider, they will likely perform a physical examination, which may include a visual inspection and possibly a digital rectal exam to assess the bump. Depending on their findings, they may recommend treatments such as topical medications for hemorrhoids or fissures, or further investigations if they suspect an infection or other issues.


Conclusion
While it is possible that the bump is a benign result of irritation from frequent wiping or a minor issue like hemorrhoids, it is always best to err on the side of caution when it comes to new symptoms in sensitive areas. If you have any doubts or if the bump persists, seeking medical advice is a prudent step. Your health and peace of mind are important, and a healthcare professional can provide the reassurance and treatment you may need.

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