Left-Sided Anal Mass: Causes and Treatment Options - Surgery

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Understanding left-sided anal masses can be a complex issue, especially in the context of previous conditions such as anal fissures. Based on the information provided, it seems you are experiencing a small hard lump on the left side of your anus, which may be related to your previous anal fissure.
Anal fissures are small tears in the lining of the anus, often caused by passing hard stools or straining during bowel movements. They can lead to pain, bleeding, and sometimes the development of skin tags or other lesions as the body attempts to heal the area. The hard lump you are feeling could potentially be a skin tag, which is a common occurrence after an anal fissure heals. Skin tags are benign growths that can develop as a result of irritation or inflammation in the area.

While you mentioned that you do not experience discomfort under normal circumstances, the slight pain you feel during certain activities, such as wiping or stretching the area, may indicate that the skin tag or lump is still sensitive. It is important to note that while many skin tags do not require treatment, they can sometimes become irritated or inflamed, leading to discomfort.

In terms of treatment options, it is advisable to maintain good anal hygiene and avoid any irritants that could exacerbate the condition. Over-the-counter treatments, such as topical creams or ointments designed for anal discomfort, may provide relief. The medication you mentioned, "益痔康栓劑," is typically used for hemorrhoids and may help alleviate some symptoms, but it is essential to follow your doctor's advice regarding its use, especially since they recommended it primarily for cases involving bleeding.

As for whether the lump will heal on its own, many skin tags do not require treatment unless they become bothersome. However, if you notice any changes in size, color, or if the pain increases, it would be prudent to consult with a healthcare professional. They can perform a thorough examination and determine if any further intervention is necessary.

In conclusion, while your symptoms may be related to your previous anal fissure, it is essential to monitor the lump and any associated discomfort. If you have concerns about the lump or if it does not improve, seeking a follow-up appointment with a healthcare provider specializing in gastrointestinal or colorectal issues would be beneficial. They can provide a more accurate diagnosis and discuss potential treatment options tailored to your specific situation. Remember, maintaining open communication with your healthcare provider is key to managing your symptoms effectively.