Hard Bump Near Anus: Is It a Pimple or Something Else? - Surgery

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Acne near the anal area?


I have a hard lump near my anus.
It doesn't feel very irregular when I touch it, and there is no whitehead.
Could this be a pimple, or something else? If you need a picture, I have taken one.

Shaqi eh, 10~19 year old female. Ask Date: 2021/03/28

Dr. Yu Mingchang reply Surgery


Hello: The likelihood of external hemorrhoids is low; it would be good to consult a colorectal specialist when you have time.

Reply Date: 2021/03/28

More Info


When you notice a hard bump near the anus, it can be concerning, and it's important to understand what it might be. Based on your description, the bump feels hard and does not have a white head, which suggests it may not be a typical pimple. There are several possibilities for what this bump could be, and understanding these can help you decide whether you need to seek medical attention.

1. Hemorrhoids: One of the most common causes of bumps near the anus is hemorrhoids, which are swollen veins in the rectal area. They can be internal or external. External hemorrhoids can feel like a hard lump and may not always be painful unless they become thrombosed (clotted). Symptoms can include itching, discomfort, and sometimes bleeding during bowel movements.

2. Skin Tags: These are small, benign growths that can occur around the anal area. They are usually soft and can feel like a bump. Skin tags are not harmful but can be bothersome if they get irritated.

3. Abscess: An anal abscess is a collection of pus that can form near the anus due to infection. These bumps can be painful and may be accompanied by fever or other signs of infection. If the bump is tender, warm to the touch, or if you experience systemic symptoms, it’s important to see a healthcare provider.

4. Fistula: An anal fistula is a small tunnel that can develop between the end of the bowel and the skin near the anus, often as a result of an abscess. This condition can also present as a bump and may require surgical intervention.

5. Warts: Genital warts, caused by the human papillomavirus (HPV), can appear around the anal area. They may feel like small bumps and can vary in size and shape.

6. Cysts: A sebaceous cyst can develop in the anal area, which is a small, hard lump that can be painless unless it becomes infected.

Given that you mentioned the bump does not have a white head and is hard, it is less likely to be a typical acne pimple. However, without a physical examination, it is difficult to provide a definitive diagnosis.

When to Seek Medical Attention
If the bump persists, changes in size, becomes painful, or if you experience any other symptoms such as bleeding, discharge, or fever, it is advisable to consult a healthcare professional. They can perform a physical examination and may recommend imaging or other diagnostic tests if necessary.


Conclusion
In summary, while the bump near your anus could be a variety of things, including hemorrhoids, skin tags, or possibly an abscess, it is essential to monitor the situation. If you have any concerns or if the bump causes discomfort, seeking medical advice is the best course of action. A healthcare provider can give you a proper diagnosis and recommend appropriate treatment if needed. Remember, it’s always better to err on the side of caution when it comes to changes in your body.

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