Enlarged White Bumps Around the Anus: Causes and Care

Small white bumps protruding from the anus (update)

Hello Dr.
Ke, I am the patient who inquired about the white bump near the anus a few days ago (#151979).
PS.
You mentioned that the uploaded photos cannot be viewed for security reasons, so I switched to another platform and asked a question yesterday.
However, since the symptoms have changed, please disregard my previous description.
The white bump that I mentioned has suddenly grown significantly larger today.
It still appears somewhat white on the surface, and I am very concerned that it might be an abscess.
My bowel movements have returned to normal over the past few days, and I have consistently maintained the habit of taking sitz baths.
However, this white bump is now swollen, which is causing me great anxiety.

Could you please let me know if what you referred to as an anal fissure could have such a prolonged course? Or does this seem more like another condition? It has indeed swollen quite a bit today, but I still haven't noticed any discharge.
The color seems to be similar to the surrounding skin, not particularly red, and I do not have a fever.
I also don’t feel much discomfort when sitting.
However, due to its increasing size, it causes discomfort while walking, and there is still some pain, especially when applying medication to the area, which remains very painful.
Overall, the pain has decreased compared to a few days ago, and now it is more itchy.

I have attached a photo of the symptoms taken today (the whiteness around the anus is due to the hemorrhoid cream I applied): https://ibb.co/LgnH5HZ.
I apologize for bothering you again, but seeking medical help overseas is really difficult, and I am genuinely worried that it might be an abscess.
I hope you can evaluate my condition again and provide me with some self-care recommendations.
Thank you, doctor.

Xiao Bai, 20~29 year old female. Ask Date: 2020/01/12

Dr. Ke Fangxu reply Surgery

Based on this photo, it appears to be an anal fistula.
If there is no pain or swelling, there is no immediate urgency to seek medical attention.
I recommend applying ointment and taking warm sitz baths.
However, it is still best to have a doctor evaluate it as soon as possible to prevent the condition from worsening.

Reply Date: 2020/01/12

More Info

Understanding enlarged white bumps around the anus can be concerning, especially when there are changes in size, color, or associated symptoms. Based on your description, it seems you are experiencing a significant change in a previously noted white bump, which has now enlarged and is causing discomfort.
Firstly, it’s important to note that various conditions can lead to the formation of white bumps around the anal area. Some common causes include:
1. Hemorrhoids: These are swollen blood vessels in the rectal area that can become inflamed and painful. They may appear as lumps and can sometimes be mistaken for other conditions.

2. Anal Warts: Caused by the human papillomavirus (HPV), these can appear as small, white or flesh-colored bumps around the anus. They can vary in size and may cause discomfort.

3. Pilonidal Cyst: This is a cyst that can occur near the tailbone and may become infected, leading to swelling and pain. It can sometimes present as a bump that may appear white if there is pus.

4. Skin Tags: These are benign growths that can occur around the anus and may appear as small, soft bumps. They are usually painless but can become irritated.

5. Abscess: An anal abscess is a collection of pus that can occur due to infection. It may present as a painful, swollen area that can be red or white, depending on the severity of the infection.

Given that your bump has enlarged and you are experiencing discomfort, it is crucial to seek medical attention. While you mentioned that you do not have fever or significant redness, the fact that the bump is growing and causing pain indicates that it may require evaluation by a healthcare professional.
In terms of self-care, here are some general recommendations you can consider while you seek medical advice:
- Warm Sitz Baths: Continuing with sitz baths can help soothe the area and promote healing. Soaking in warm water for 15-20 minutes several times a day can reduce discomfort.

- Topical Treatments: If you are using a hemorrhoid cream, ensure it is appropriate for your symptoms. Avoid applying any new topical treatments without consulting a healthcare provider.

- Avoid Irritants: Be cautious with soaps and hygiene products that may irritate the area. Opt for gentle, fragrance-free products.

- Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation and straining during bowel movements, which can exacerbate symptoms.

- Monitor Symptoms: Keep track of any changes in the bump, such as increased pain, changes in color, or the presence of discharge. This information will be helpful for your healthcare provider.

It is understandable to feel anxious about the changes you are experiencing, especially when it comes to sensitive areas of the body. While some conditions may resolve on their own, others may require medical intervention, particularly if there is a risk of infection or other complications. Therefore, I strongly encourage you to consult with a healthcare provider who can perform a thorough examination and provide an accurate diagnosis and appropriate treatment plan. Your health and peace of mind are paramount, and seeking professional guidance is the best course of action.

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