Discovering Unusual Bumps Near the Anus: What You Need to Know - Surgery

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Feeling a hard lump while showering?


Two days ago, I took a shower to prepare for my boyfriend and noticed two small lumps near my anus that are connected.
They are not painful or itchy, but I feel a slight pain when I press on them.
Could this be a pimple? Should I try to squeeze them?

Xiao Di, 20~29 year old female. Ask Date: 2020/01/26

Dr. Ke Fangxu reply Surgery


Answer: It is impossible to make an accurate diagnosis without a physician's personal examination.
Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be potential issues.
It is advisable to consult a physician for evaluation rather than attempting to manage the situation on your own, as this may delay necessary medical treatment and worsen the condition.

Reply Date: 2020/01/26

More Info


Discovering unusual bumps near the anus can be concerning, and it’s important to approach this situation with caution and awareness. Based on your description of two small bumps near the anus that are connected, painless, and only slightly tender when pressed, there are several potential explanations for what you might be experiencing.
One possibility is that these bumps could be hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding. They can appear as small lumps or bumps around the anal area. However, if they are painless and only slightly tender, it may not be the case.
Another possibility is that these bumps could be skin tags. Skin tags are benign growths that can occur in various areas of the body, including the anal region. They are typically painless and may be connected to the skin. Skin tags are generally harmless and do not require treatment unless they become bothersome or irritated.

Additionally, you might be dealing with a condition known as anal warts, which are caused by the human papillomavirus (HPV). These can appear as small, flesh-colored or gray growths and may be painless. However, they can sometimes cause discomfort or itching.

It is also important to consider the possibility of cysts, such as sebaceous cysts, which can form in the skin and may feel like small lumps. These are typically harmless but can become infected, leading to pain and swelling.

Given that you mentioned the bumps are not painful or itchy, it is less likely that they are indicative of a serious condition, such as anal cancer. However, it is crucial to remember that any new growths or changes in your body should be evaluated by a healthcare professional.
In terms of treatment, it is generally not advisable to attempt to squeeze or pop any bumps or growths near the anus. Doing so can lead to irritation, infection, or further complications. Instead, it is best to schedule an appointment with a healthcare provider, such as a dermatologist or a gastroenterologist, who can perform a thorough examination and provide a proper diagnosis.

During your visit, the healthcare provider may ask about your symptoms, medical history, and any other relevant factors. They may also perform a physical examination to assess the bumps and determine the best course of action. Depending on the diagnosis, treatment options may include monitoring the bumps, topical treatments, or, in some cases, surgical removal if necessary.

In conclusion, while the bumps you discovered near your anus may not be a cause for immediate alarm, it is essential to seek medical advice to ensure proper evaluation and management. Early diagnosis and treatment can help alleviate any concerns and prevent potential complications. Remember, your health and peace of mind are paramount, so don’t hesitate to reach out to a healthcare professional for guidance.

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