Anal Growths: Is It a Worrying Condition?

Q: Anal Growths: Is It a Worrying Condition?

Answer： Whether it is a cauliflower-like growth or not can only be determined by a physician's examination. <br>However, if there has been a history of anal fissures and the location is at the front or back, it is likely that these are polyps associated with the anal fissures. <b

A polyp has developed at the anal opening?

About two months ago, I experienced bleeding during bowel movements and severe pain in my rectal area.
I visited a clinic for hemorrhoids, and the doctor diagnosed me with an anal fissure.
I went home and applied ointment for two weeks but did not return for further treatment.
However, I continued to experience pain in my anus, so I bought over-the-counter ointment to apply myself.
After about a month of discomfort, I noticed some improvement, but there is still a small area around the anus that appears inflamed (I'm not sure if it's an anal abscess; it hurts when pressed and sometimes bleeds).
I have only been applying ointment, but there has been no improvement.
A few days after the pain subsided, I felt a small growth at the anal opening.
Initially, I didn't pay much attention to it, but after a week, I took a photo out of curiosity and noticed it looked similar to cauliflower.
I'm a bit worried; it has been almost a month now, and while it has slightly increased in size, it is not painful or itchy.
Occasionally, I still notice blood during bowel movements.
I'm unsure if it is indeed a cauliflower-like growth or if it is hyperplastic tissue (hyperplastic anal papilla) following the healing of the fissure.
I'm really concerned and would like to ask a doctor for clarification.

Ye Xiansheng, 20~29 year old female. Ask Date: 2019/12/18

Dr. Ke Fangxu reply Surgery

Answer: Whether it is a cauliflower-like growth or not can only be determined by a physician's examination.
However, if there has been a history of anal fissures and the location is at the front or back, it is likely that these are polyps associated with the anal fissures.
If the pain and bleeding have improved and the polyps are not increasing in size, observation may be appropriate.
Otherwise, it is advisable to consult a physician for further evaluation and to determine the underlying cause.

Reply Date: 2019/12/18

More Info

It sounds like you are experiencing a challenging situation with your anal health, and I appreciate your willingness to seek clarity on this matter. Based on your description, it seems you have dealt with anal fissures, which are tears in the lining of the anus that can cause significant pain and bleeding during bowel movements. The fact that you have noticed a growth near your anus, which resembles cauliflower, raises some important considerations.

Firstly, it is essential to understand that any new growth in the anal area should be evaluated by a healthcare professional. While the appearance of the growth may resemble condyloma acuminatum (commonly known as genital warts), which are caused by the human papillomavirus (HPV), it could also be a benign condition such as a hypertrophied anal papilla or scar tissue from the healing process of your fissure. The fact that it is not painful or itchy is somewhat reassuring, but the presence of bleeding during bowel movements is concerning and warrants further investigation.

The growth you described could be a result of several factors. After an anal fissure heals, the tissue may undergo changes, leading to the formation of excess tissue or a growth. This can sometimes happen as the body attempts to repair itself. However, it is crucial to differentiate between benign growths and those that may require more serious attention, especially if there is a history of bleeding.

Given that you have experienced prolonged discomfort and the presence of a growth, I strongly recommend that you schedule an appointment with a gastroenterologist or a colorectal surgeon. They can perform a thorough examination, which may include a visual inspection and possibly a biopsy if deemed necessary. This will help determine the exact nature of the growth and whether it is benign or requires treatment.

In the meantime, it is important to manage your bowel health to prevent further irritation. Ensure you are consuming a high-fiber diet to soften your stools and reduce straining during bowel movements. Staying hydrated and possibly using stool softeners can also be beneficial. Avoiding excessive wiping or harsh cleaning methods around the anal area can help minimize irritation.

If the growth is indeed condyloma, treatment options may include topical medications, cryotherapy, or surgical removal, depending on its size and symptoms. If it is scar tissue or another benign condition, your healthcare provider will guide you on the best course of action.

In summary, while it is understandable to feel anxious about changes in your body, the best course of action is to consult with a healthcare professional who can provide a definitive diagnosis and appropriate treatment options. Early intervention can often lead to better outcomes and peace of mind. Please take care of yourself, and do not hesitate to seek the help you need.

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