Is That a Polyp or Hemorrhoid? When to See a Doctor - Surgery

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Is there a polyp in the anus?


Recently, after eating spicy hot pot, I experienced diarrhea 4-5 times within two days, and later noticed some slight blood in my stool.
Recently, there has been no more bleeding, but I occasionally feel a slight itch around the anus, which is not painful.
Upon examination, I found a piece of tissue that is the same color as my skin.
I'm unsure if it is a hemorrhoid or a polyp.
Should I see a doctor?

Aquarium, 30~39 year old female. Ask Date: 2020/05/20

Dr. Ke Fangxu reply Surgery


This situation is more indicative of hemorrhoidal swelling.
You can first purchase over-the-counter ointments for application.
If there is no pain, bleeding, or fever, you can continue to monitor the condition.
However, if you experience any discomfort, you should consult a physician for a formal diagnosis.

Reply Date: 2020/05/20

More Info


When it comes to distinguishing between a polyp and hemorrhoids, it's essential to understand the characteristics of each condition and the symptoms they present. Hemorrhoids are swollen veins in the lower rectum or anus, which can cause discomfort, itching, and bleeding during bowel movements. They can be classified as either internal or external, with internal hemorrhoids typically being painless but may bleed, while external hemorrhoids can be painful and may cause swelling or a lump around the anus.

On the other hand, polyps are growths that can develop on the lining of the colon or rectum. They can vary in size and shape and may be flat or raised. While most polyps are benign, some can develop into colorectal cancer over time, which is why regular screening is crucial.

In your case, the symptoms you describe—occasional itching around the anus and the presence of a flesh-colored lump—could potentially indicate hemorrhoids, especially if you have experienced recent bowel changes and minor bleeding. The fact that you had diarrhea after consuming spicy food may have exacerbated any existing hemorrhoids, leading to irritation and bleeding. However, the presence of a lump that resembles skin could also raise concerns about a polyp or other growth.

Given that you have experienced some bleeding, even if it has stopped, and you have noticed a new lump, it is advisable to consult a healthcare professional. Here are some reasons why seeing a doctor is important:
1. Accurate Diagnosis: A healthcare provider can perform a thorough examination, which may include a digital rectal exam or an anoscopy, to determine whether the lump is a hemorrhoid, a polyp, or something else entirely.

2. Screening for Colorectal Cancer: If you are over the age of 45 or have risk factors for colorectal cancer (such as a family history), your doctor may recommend a colonoscopy to screen for polyps or other abnormalities in the colon.

3. Management of Symptoms: If it is determined that you have hemorrhoids, your doctor can recommend treatments to alleviate your symptoms, such as topical creams, dietary changes, or procedures to remove the hemorrhoids if necessary.

4. Peace of Mind: Any new growth or change in your body can be concerning. Consulting a doctor can provide reassurance and clarity about your health status.

In summary, while your symptoms may suggest hemorrhoids, it is crucial to have a medical professional evaluate your condition to rule out any serious issues, such as polyps or other gastrointestinal concerns. Early detection and treatment can significantly improve outcomes and help manage any discomfort you may be experiencing. Therefore, I recommend scheduling an appointment with a healthcare provider as soon as possible to address your concerns and receive appropriate care.

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