Unusual Bumps Near the Anus: When to Seek Medical Advice - Urology

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Hello doctor, two days ago while showering, I noticed a round, raised lump that feels hard and seems to be attached to the skin.
It is not painful or itchy, located about 2 centimeters from the anus.
Could this be a sexually transmitted infection? Do I need to go to the hospital for an examination? If so, which department should I see?

n, 20~29 year old female. Ask Date: 2020/11/22

Dr. Du Shixi reply Urology


Hello: The possibility of warts cannot be ruled out.
If there has been unsafe sexual behavior, it is recommended to consult a urologist at a hospital.
Wishing you good health.

Reply Date: 2020/11/22

More Info


When it comes to unusual bumps near the anus, it is essential to approach the situation with caution and awareness. The presence of a hard, round bump near the anus, especially one that feels attached to the skin and is not painful or itchy, can be concerning. While it is understandable to worry about sexually transmitted infections (STIs), it is important to note that not all bumps in this area are indicative of STIs.
There are several potential causes for such bumps, including:
1. Hemorrhoids: Swollen blood vessels in the rectal area can form lumps that may be painful or painless. They can be internal or external and may not always cause discomfort.

2. Skin Tags: These are benign growths that can appear in various areas of the body, including near the anus. They are usually painless and do not require treatment unless they become bothersome.

3. Warts: Genital warts, caused by certain strains of the human papillomavirus (HPV), can appear as small bumps in the genital area. They may be raised or flat and can vary in size.

4. Cysts: Sebaceous cysts can develop in the skin and may feel like a firm lump. These are typically harmless but can become infected.

5. Abscesses: An abscess is a collection of pus that can form due to infection. While these are usually painful, some may not present with significant discomfort initially.

6. Fungal or Bacterial Infections: Certain infections can cause lumps or bumps in the genital area, which may require medical evaluation.

Given your description, it is advisable to seek medical advice, especially since the bump is new and has not resolved on its own. While it may not be an STI, a healthcare professional can provide a proper diagnosis and treatment if necessary.


When to Seek Medical Advice
You should consider making an appointment if:
- The bump persists for more than a few days.

- You notice changes in size, color, or texture.

- You develop additional symptoms, such as pain, itching, or discharge.

- You have a history of STIs or other relevant medical conditions.


Which Specialist to See
For evaluation of a bump near the anus, you should consider seeing a healthcare provider who specializes in this area. The following specialists would be appropriate:
- Primary Care Physician: They can perform an initial evaluation and refer you to a specialist if needed.

- Colorectal Surgeon: These specialists focus on conditions affecting the colon, rectum, and anus.

- Dermatologist: If the bump appears to be a skin-related issue, a dermatologist can provide specialized care.

- Urologist: If there are concerns about urinary symptoms or related issues, a urologist may be appropriate.


Conclusion
In summary, while the bump you described may not necessarily indicate a sexually transmitted infection, it is important to have it evaluated by a healthcare professional. Early assessment can help rule out any serious conditions and provide peace of mind. Remember, it is always better to err on the side of caution when it comes to your health.

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