a Round Bump Near the Anus: When to Seek Medical Advice - Gastroenterology and Hepatology

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A round lump at the anal folds?


Recently, I noticed a small, round lump at the anal opening after wiping myself following a bowel movement.
It has been about a month now, and it hasn't affected my bowel movements, nor has there been any significant bleeding (only occasionally, if I strain too hard, I might experience slight bleeding, but that happened even before this lump appeared).
There is no pain during bowel movements or when pressing on it; I can slightly push it back in, but it doesn't completely disappear.
It looks like an enlarged, rounded fold rather than something protruding from inside.
I'm unsure if this is anal papilla hypertrophy or a polyp.
Should I seek medical attention?

Moo, 10~19 year old female. Ask Date: 2020/07/20

Dr. Chen Shidian reply Gastroenterology and Hepatology


If there is no pain, no itching, and no bleeding, it can be monitored further.

Reply Date: 2020/07/20

More Info


When it comes to noticing a round bump near the anus, it’s important to approach the situation with caution and awareness. Based on your description, it sounds like you have identified a change in your anal area that has persisted for about a month without causing significant discomfort or bleeding, except for occasional minor bleeding due to straining during bowel movements. This is a common concern, and while it may not seem urgent, there are several factors to consider regarding when to seek medical advice.


Possible Causes
1. Hemorrhoids: One of the most common causes of a bump near the anus is hemorrhoids, which are swollen blood vessels that can develop inside (internal hemorrhoids) or outside (external hemorrhoids) the anal area. They can cause discomfort, itching, and sometimes bleeding, especially during bowel movements.

2. Anal Skin Tags: These are benign growths of skin that can occur after an episode of hemorrhoids or irritation. They are usually painless and do not require treatment unless they become bothersome.

3. Anal Fissures: If you experience pain during bowel movements or minor bleeding, it could be due to an anal fissure, which is a small tear in the lining of the anus. This can occur from straining or passing hard stools.

4. Fistulas or Abscesses: These are more serious conditions that can occur if there is an infection or abnormal connection between the anal canal and the skin. They may present as a bump and can be painful or cause discharge.

5. Polyps or Growths: While less common, polyps or other growths can develop in the anal area. These may require further evaluation to rule out any potential malignancy.


When to Seek Medical Advice
Given that the bump has been present for a month without significant pain or bleeding, it may not be an immediate emergency. However, you should consider seeking medical advice if you experience any of the following:
- Increased Pain or Discomfort: If the bump becomes painful or if you experience significant discomfort during bowel movements.

- Changes in Bowel Habits: If you notice changes in your bowel habits, such as constipation, diarrhea, or changes in the size or shape of your stool.

- Bleeding: If you experience more frequent or heavier bleeding, especially if it occurs without straining.

- Changes in the Bump: If the bump increases in size, changes in color, or if you notice any discharge from it.

- Persistent Symptoms: If the bump does not resolve or improve over time.


Conclusion
While it’s understandable to feel concerned about a new growth or change in your body, many conditions affecting the anal area are benign and can be managed effectively. However, it is always better to err on the side of caution. If you have any doubts or if the situation changes, it is advisable to consult a healthcare professional. They can perform a thorough examination, possibly including a digital rectal exam or other diagnostic procedures, to determine the exact nature of the bump and recommend appropriate treatment if necessary.

In summary, while your symptoms may not currently warrant immediate medical attention, keeping an eye on any changes and being proactive about your health is essential. If you have any concerns or if symptoms worsen, do not hesitate to seek medical advice.

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