Rectal Foreign Bodies: Causes and Concerns

Rectal foreign body

Doctor, I felt a small lump inside my anus, about 0.1 to 0.2 cm in size.
It feels hard and is round in shape, located under the skin.
Touching it does not cause any pain, and it is very small.
1.
What could that be? 2.
Could it possibly be a wart? (Do warts grow under the skin?)

Mr. Wu, 20~29 year old female. Ask Date: 2020/09/23

Dr. Ke Fangxu reply Surgery

It is difficult to make an accurate diagnosis without a physician's personal examination.
Conditions such as warts, anal fissures, hemorrhoids, fistulas, or abscesses could all be possibilities.
It is advisable to consult a physician for an examination to avoid delaying treatment and worsening the condition.

Reply Date: 2020/09/23

More Info

When it comes to understanding rectal foreign bodies, it is essential to consider various factors, including the nature of the object, its location, and any associated symptoms. Based on your description of a small, hard, round object located within the anal region, there are several possibilities to consider.

1. Possible Causes: The object you are feeling could be a variety of things. Common possibilities include:
- Hemorrhoids: These are swollen veins in the rectal area that can sometimes feel like small lumps. They can be internal or external and may not always be painful.

- Anal Warts (Condyloma Acuminata): These are caused by the human papillomavirus (HPV) and can appear as small, flesh-colored or gray growths. While they typically occur on the skin, they can also develop internally.

- Skin Tags: These are benign growths that can occur around the anal area and may feel like small, soft lumps.

- Fecaliths: These are hardened masses of stool that can sometimes form in the rectum, although they are usually associated with constipation.

- Other Benign Growths: There are various benign tumors or cysts that can develop in the anal area.

2. Concern Regarding Warts: You asked if the object could be a wart. Anal warts can indeed develop on the skin surrounding the anus and may extend into the anal canal. They are typically soft and may not always be painful. However, they are not usually described as hard. If you are concerned about the possibility of warts, it is essential to consult a healthcare professional for an accurate diagnosis.

3. When to Seek Medical Attention: While the object you described is small and not causing pain, it is still advisable to seek medical evaluation, especially if:
- The object changes in size or shape.

- You experience any pain, bleeding, or changes in bowel habits.

- You have concerns about sexually transmitted infections (STIs) or other conditions.

4. Diagnosis and Treatment: A healthcare provider will likely perform a physical examination and may recommend further diagnostic tests, such as an anal examination or imaging studies, to determine the nature of the object. Treatment will depend on the diagnosis. For example, if it is a wart, treatments may include topical medications, cryotherapy, or surgical removal. If it is a hemorrhoid, lifestyle changes, topical treatments, or procedures may be recommended.

5. Prevention and Care: To maintain anal health, consider the following:
- Diet: A high-fiber diet can help prevent constipation and reduce the risk of hemorrhoids.

- Hygiene: Keeping the anal area clean and dry can help prevent infections and irritation.

- Regular Check-ups: Regular visits to a healthcare provider can help catch any issues early.

In conclusion, while the small, hard object you are feeling may not be a cause for immediate concern, it is essential to have it evaluated by a healthcare professional. They can provide a definitive diagnosis and appropriate treatment options, ensuring your health and peace of mind.

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