Anal Flesh Bumps: Symptoms, Causes, and When to See a Doctor - Surgery

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Small flesh-like growths around the anus?


Hello Doctor, about five months ago I experienced a thrombosis at the anal area due to constipation (as the doctor said), but it was not serious.
Since then, my bowel movements have been quite smooth, and I spend no more than five minutes in the restroom, although I occasionally have issues with diarrhea.
Recently, I suddenly noticed a small lump above my anus.
It is completely painless and does not bleed, but after discovering its presence, I have become very aware of it, and it seems to feel more prominent.
I sometimes feel a sudden pain when using the restroom, which I am unsure if it's psychological.
Occasionally, I can push it back into the anus, but it still pops out again, and I sometimes feel like I haven't completely emptied my bowels.
Doctor, does this sound like hemorrhoids? Should I see a doctor? Thank you for taking the time to answer my question!

Niming, 10~19 year old female. Ask Date: 2020/11/16

Dr. Yu Mingchang reply Surgery


Hello: Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.

Reply Date: 2020/11/16

More Info


Understanding anal flesh bumps can be a source of concern for many individuals, especially when they are accompanied by changes in bowel habits or discomfort. Based on your description, it sounds like you may be experiencing a condition related to hemorrhoids or possibly a skin tag, which can occur after episodes of straining during bowel movements, such as those caused by constipation.

Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, bleeding, and the sensation of a lump. They can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and are usually not visible, while external hemorrhoids are located under the skin around the anus and can be felt as lumps. The fact that you previously experienced a thrombosed hemorrhoid (a painful clot in an external hemorrhoid) could explain the development of a new bump in the area.

The symptoms you describe, such as the presence of a small flesh-colored bump that is not painful and does not bleed, could indicate a few possibilities:
1. Skin Tag: After a thrombosed hemorrhoid, it is common for skin tags to develop. These are benign and usually do not require treatment unless they become bothersome.

2. Hemorrhoids: If the bump is indeed a hemorrhoid, it may not always cause pain or bleeding, especially if it is not thrombosed. However, if it becomes larger or painful, it may require medical attention.

3. Other Conditions: While less common, other conditions such as anal warts, cysts, or even more serious issues like anal fissures or tumors could present similarly. Therefore, it is essential to monitor any changes in size, shape, or symptoms.

Given your history of a thrombosed hemorrhoid and the recent discovery of this bump, it is advisable to consult a healthcare professional for a thorough evaluation. A doctor can perform a physical examination and possibly recommend further tests to determine the exact nature of the bump. They can also provide guidance on management options, which may include lifestyle changes, dietary adjustments, or medical treatments.

In the meantime, here are some general recommendations to help manage your symptoms:
- Dietary Changes: Ensure you are consuming a high-fiber diet to prevent constipation. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.

- Avoid Straining: When using the bathroom, try not to strain, as this can exacerbate hemorrhoids and lead to further complications.

- Warm Baths: Soaking in a warm bath can help alleviate discomfort and promote relaxation in the anal area.

- Over-the-Counter Treatments: There are various topical treatments available for hemorrhoids that can help reduce inflammation and discomfort.

- Monitor Symptoms: Keep track of any changes in the bump, such as increased pain, bleeding, or changes in bowel habits, and report these to your doctor.

In conclusion, while the bump you are experiencing may be benign, it is essential to seek medical advice to rule out any serious conditions and to receive appropriate treatment if necessary. Early intervention can help prevent complications and improve your overall comfort.

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