External anal mass
Hello, doctor.
I would like to ask about a bump near my anus that looks like a pimple and is painful and hard.
I went to the pharmacy and informed the pharmacist about my condition, and they gave me a topical cream called Xinhui Meikang Cream (a treatment for various skin conditions).
I want to know if this can help it go away.
I've read online that this could be an anal fistula or a pilonidal cyst.
I live and work alone in Taichung, and I'm afraid to see a doctor because I worry it might require surgery, so I wanted to ask here first.
Thank you.
Emma, 20~29 year old female. Ask Date: 2020/12/08
Dr. Xu Kaixi reply Surgery
Based on your description, this lump is more likely to be folliculitis or an inflamed sebaceous cyst.
For a definitive diagnosis and to determine the exact cause, it is necessary to visit a surgical outpatient clinic or a dermatology clinic in person for further evaluation.
Reply Date: 2020/12/08
More Info
Understanding painful bumps near the anus can be concerning, and it's important to address your symptoms with accurate information. Based on your description, it sounds like you may be dealing with a condition that could range from something benign, like a pimple or a cyst, to more complex issues such as an anal abscess or a fistula.
Possible Causes of Painful Bumps Near the Anus
1. Pilonidal Cyst: This is a common condition where a cyst forms near the tailbone, often containing hair and skin debris. It can become painful and infected, leading to swelling and discomfort.
2. Anal Abscess: This occurs when a gland in the anus becomes blocked and infected, leading to a painful, swollen area. An abscess often requires drainage by a healthcare professional.
3. Hemorrhoids: Swollen blood vessels in the rectal area can cause lumps that may be painful, especially during bowel movements. They can be internal or external.
4. Fistula: An anal fistula is a small tunnel that forms between the end of the bowel and the skin near the anus, often resulting from an abscess. It can cause pain and discharge.
5. Skin Conditions: Conditions like folliculitis (inflammation of hair follicles), warts, or even sexually transmitted infections can present as painful bumps.
Treatment Options
Regarding the medication you received, 杏輝美康乳膏 (Ainwei Meikang Cream) is a topical treatment that may help with various skin conditions, including inflammation and infection. However, its effectiveness will depend on the underlying cause of your bump. Here are some general treatment options:
- Topical Treatments: Over-the-counter creams or ointments may help reduce inflammation and discomfort. If the bump is due to a skin condition, a topical corticosteroid might be beneficial.
- Warm Compresses: Applying a warm compress to the affected area can help reduce pain and promote drainage if there is an abscess.
- Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort.
- Hygiene: Keeping the area clean and dry is crucial. Avoid harsh soaps and opt for gentle cleansing.
When to See a Doctor
While it is understandable to feel apprehensive about seeing a doctor, especially with concerns about potential surgery, it is crucial to seek medical attention if:
- The bump persists or worsens.
- You experience fever, increased pain, or swelling.
- There is discharge or bleeding from the bump.
- You have difficulty with bowel movements or experience significant discomfort.
A healthcare professional can provide a proper diagnosis and treatment plan. They may perform a physical examination and, if necessary, imaging studies to determine the exact nature of the bump.
Conclusion
In summary, while topical treatments like the cream you received may provide some relief, they may not address the underlying issue if it is more serious. It is essential to monitor your symptoms and seek medical advice if they do not improve. Remember, early intervention can prevent complications and lead to better outcomes. Don't hesitate to reach out to a healthcare provider for peace of mind and appropriate care.
Similar Q&A
Understanding Painful Bumps Near the Anus: Causes and Concerns
Hello, Doctor: Over the past two days, I have noticed a lump near my anus, approximately one centimeter down on the left side. It is not discharging pus or blood, and it is not the type that can be squeezed; it resembles a swollen area like a mosquito bite, but it is painful. I a...
Dr. Xu Kaixi reply Surgery
Based on your description, the painful lump is likely an inflammatory change related to hemorrhoids, which may be associated with constipation. It is recommended that you visit a surgical outpatient clinic for further examination and treatment.[Read More] Understanding Painful Bumps Near the Anus: Causes and Concerns
Understanding Painful Bumps Near the Anus: Causes and Home Remedies
Hello, doctor. Two days ago, I noticed a bump on the right side of my buttocks around the anal area. It's about 1.5 centimeters in size, slightly red in color, feels hard to the touch, and is somewhat painful. The symptoms have not changed since then. I would like to know wh...
Dr. Zhang Shuhao reply Surgery
This situation may be due to folliculitis or an abscess around the anus. It is not possible to determine the severity of the issue or provide appropriate treatment at home. Seeking medical attention early can ensure that you receive proper treatment and management advice.[Read More] Understanding Painful Bumps Near the Anus: Causes and Home Remedies
Understanding Painful Bumps Near the Anus: Causes and Concerns
I have developed bumps near my anus and genitals that resemble acne. They become inflamed and pus-filled, causing swelling and pain, and feel like hard lumps when touched. After the inflammation subsides, they do not disappear completely but only shrink in size. Initially, I did ...
Dr. Ke Fangxu reply Surgery
Hello: In response to your question, if there is inflammation and pus formation, the swelling is likely caused by bacterial infection leading to tissue edema. However, if there are recurrent infections or if the infection has not been completely resolved, it can result in fibrosi...[Read More] Understanding Painful Bumps Near the Anus: Causes and Concerns
Understanding Subcutaneous Bumps: Causes and Treatment Options
A lump approximately 1.5 centimeters in size has developed under the skin near the anus. It causes mild pain when pressure is applied, but there are no wounds or pus. Could it be a hemorrhoid or a cyst? Since the location is quite sensitive, I am seeking advice online. Is it poss...
Dr. Du Shixi reply Urology
Hello: It is possible that there is a localized infection, as both the internal and external areas of the anus can become purulent due to infection. If the swelling increases and tenderness becomes more pronounced, please consult a colorectal surgeon to confirm the diagnosis. Sel...[Read More] Understanding Subcutaneous Bumps: Causes and Treatment Options
Related FAQ
(Surgery)
Itchy Anus(Surgery)
Anal Lump(Surgery)
Anus(Surgery)
Painful Lump(Surgery)
External Anal Lump(Surgery)
Perineal(Surgery)
Post-Anal Fissure Surgery(Surgery)
Chronic Anal Fissure(Surgery)
Irritable Bowel Syndrome(Surgery)