Pain Near the Anus: Should You See a Doctor?

Pain upon palpation of the perianal area?

Unlike the previous abscess that had a noticeable lump, this time I accidentally discovered a mass about two fingerbreadths away from the anus while wiping.
There is pain only when I press on it, but upon examination, there are no external injuries or lumps.
Should I seek medical attention?

Lai, 20~29 year old female. Ask Date: 2021/09/24

Dr. Ke Fangxu reply Surgery

After the healing of an anal abscess, there is a possibility of developing an anal fistula.
It is advisable to have a physician examine the area to avoid any delays in treatment.

Reply Date: 2021/09/24

More Info

Experiencing pain near the anus can be concerning, and it's important to approach this symptom with caution. While I cannot provide a definitive diagnosis, I can offer some insights into potential causes and the importance of seeking medical attention.

Firstly, the area around the anus is sensitive and can be affected by various conditions. Common causes of pain in this region include hemorrhoids, anal fissures, infections, or even skin conditions. Hemorrhoids are swollen veins in the lower rectum and anus that can cause pain, especially during bowel movements. Anal fissures are small tears in the lining of the anus, often resulting from passing hard stools, and can also be quite painful. Infections, such as abscesses or sexually transmitted infections, can lead to localized pain and discomfort.

Given that you mentioned there is no visible swelling or external injury, it’s still possible that the pain could be related to internal issues. For instance, conditions like pilonidal cysts, which occur near the tailbone, can sometimes present as pain without an obvious external lump. Additionally, muscle tension or spasms in the pelvic floor can also lead to discomfort in the anal region.

It's crucial to consider the duration and severity of the pain. If the pain is persistent, worsening, or accompanied by other symptoms such as bleeding, changes in bowel habits, fever, or significant discomfort, it is advisable to seek medical attention. A healthcare professional can perform a thorough examination, which may include a digital rectal exam, to assess for any underlying conditions that may not be visible externally.

In your case, since you have noticed pain only upon pressing the area and there are no visible signs of injury or swelling, it could be a benign issue, but it’s still wise to err on the side of caution. Consulting with a healthcare provider, such as a gastroenterologist or a colorectal surgeon, can provide clarity. They can offer a proper diagnosis and recommend appropriate treatment options based on the findings.

In summary, while not all anal pain requires immediate medical attention, it is essential to monitor your symptoms closely. If the pain persists or is accompanied by other concerning symptoms, seeking medical advice is the best course of action. Early intervention can help prevent potential complications and ensure that any underlying issues are addressed promptly. Your health and well-being are paramount, so don’t hesitate to reach out to a healthcare professional for guidance.

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