Possible Anal Lump: Symptoms and When to Seek Help - Surgery

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Suspected anal mass?


Hello Doctor: Recently, I have occasionally noticed a small lump near the anal opening when wiping after a bowel movement with wet wipes.
On a few occasions, the first piece of toilet paper had a reddish-orange color, but the amount was very small, just a little, and it doesn't happen frequently.
I would like to ask the doctor what this condition might be.
Could it be hemorrhoids? Which specialty should I consult for an examination? Thank you for taking the time to respond.

Student J, 20~29 year old female. Ask Date: 2021/08/24

Dr. Yu Mingchang reply Surgery


Hello: Please take some time to consult a colorectal specialist, as there is a higher possibility of hemorrhoids.

Reply Date: 2021/08/24

More Info


Hello! Thank you for reaching out with your concerns regarding the possible anal lump and the symptoms you are experiencing. Based on your description, it sounds like you may be dealing with a few potential issues, the most common of which could be hemorrhoids (also known as piles). However, it’s essential to consider other possibilities as well.

Hemorrhoids are swollen blood vessels in the rectal area that can cause discomfort, itching, and sometimes bleeding. The fact that you noticed a small lump and some reddish-orange discoloration on the tissue could indicate that you have external hemorrhoids, which can sometimes bleed, especially during bowel movements. The bleeding is often bright red, which aligns with your observation of the orange-red color on the tissue.

Another possibility could be anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools. These can also cause pain and bleeding during bowel movements. Additionally, skin tags or warts can develop around the anal area, which may feel like a lump.

While these are common conditions, it is crucial to keep in mind that other more serious conditions can also present with similar symptoms, such as anal abscesses or even anal cancer. Therefore, it is important not to self-diagnose and to seek professional medical advice.

Given your symptoms, I recommend that you see a healthcare provider, specifically a gastroenterologist or a colorectal surgeon. These specialists are trained to diagnose and treat conditions related to the gastrointestinal tract and the anal area. They may perform a physical examination and possibly recommend further tests, such as a digital rectal exam or an anoscopy, to get a clearer picture of what is happening.

When you visit the doctor, be prepared to discuss your symptoms in detail, including when they started, any changes in bowel habits, and any other symptoms you may be experiencing, such as pain, itching, or changes in stool consistency. This information will help your healthcare provider make an accurate diagnosis.

In the meantime, here are a few general tips that may help alleviate your symptoms:
1. Dietary Changes: Increase your fiber intake by consuming more fruits, vegetables, and whole grains. This can help soften your stool and reduce straining during bowel movements.

2. Hydration: Drink plenty of water throughout the day to stay hydrated, which can also help with stool consistency.

3. Warm Baths: Taking warm baths can help soothe the anal area and reduce discomfort.

4. Over-the-Counter Treatments: There are various over-the-counter creams and ointments specifically designed for hemorrhoids that may provide temporary relief.

5. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids and other anal conditions.

Remember, while these tips may provide temporary relief, they are not a substitute for professional medical advice. It’s essential to have a healthcare provider evaluate your symptoms to rule out any serious conditions and to receive appropriate treatment.
I hope this information helps you understand your symptoms better and encourages you to seek the necessary medical attention. Take care!

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