Growth Near the Anus: Causes and Treatment Options

There is a growth of flesh next to the buttocks?

I previously had surgery with a nail, and now there is a depression in that area.
Recently, it became inflamed, and I have been taking anti-inflammatory medication.
There is now a growth of tissue next to the depression near the anus, which occasionally bleeds a little, but it is not at the anal opening.
It hurts when I touch it, and I can't remove it; it bleeds but does not affect my ability to use the restroom.
However, when sitting, it feels like a lump, and when standing, it seems to retract.
What could this be? Is surgery necessary? Which specialist should I see?

Huāzhī, 30~39 year old female. Ask Date: 2021/12/11

Dr. Zhang Shuhao reply Surgery

It is possible that the tissue growing around the wound is granulation tissue, or it could be caused by hemorrhoids.
If there is bleeding, you can apply ointment (if you had surgery previously).
You may want to consult a colorectal surgeon.
Wishing you a speedy recovery.

Reply Date: 2021/12/11

More Info

Understanding growths near the anus can be concerning, especially after previous surgeries or infections. Based on your description, it sounds like you may be experiencing a condition known as a perianal skin tag or possibly a small polyp. These growths can occur for various reasons, including previous trauma, inflammation, or irritation in the area.

Possible Causes
1. Skin Tags: These are benign growths that can develop in areas of friction or irritation. They are usually painless but can bleed if irritated or scratched.

2. Hemorrhoids: Swollen blood vessels in the rectal area can sometimes protrude and may cause discomfort or bleeding, especially if they become thrombosed or inflamed.

3. Anal Fissures: If there is a tear in the anal lining, it can lead to pain and bleeding, and sometimes a small growth may develop as a result of chronic irritation.

4. Polyps: These are growths that can occur in various parts of the body, including the anal area. While most are benign, some can be precursors to more serious conditions.

5. Infection or Abscess: If there was a previous infection, it could lead to the formation of an abscess or other growths as the body responds to the infection.

Symptoms to Monitor
- Bleeding: While a small amount of blood can be common with skin tags or hemorrhoids, any significant or persistent bleeding should be evaluated.

- Pain or Discomfort: If the growth is painful, especially when sitting or during bowel movements, it may require further investigation.

- Changes in Size or Appearance: Any growth that changes in size, color, or shape should be assessed by a healthcare professional.

Treatment Options
1. Observation: If the growth is not causing significant discomfort or bleeding, your doctor may recommend monitoring it for changes.

2. Medications: Anti-inflammatory medications can help reduce swelling and discomfort. If there is an infection, antibiotics may be necessary.

3. Surgical Removal: If the growth is bothersome, painful, or shows signs of infection, surgical removal may be recommended. This is typically a minor procedure performed under local anesthesia.

4. Lifestyle Modifications: Increasing fiber intake and staying hydrated can help prevent constipation and reduce strain during bowel movements, which may alleviate some symptoms.

When to See a Doctor
Given your symptoms, it is advisable to consult a healthcare professional. You should see a proctologist or a gastroenterologist, as they specialize in conditions related to the anal and rectal areas. They can perform a thorough examination, possibly including a digital rectal exam or anoscopy, to assess the growth and determine the best course of action.

Conclusion
While growths near the anus can be benign, it is essential to have any new or changing growths evaluated by a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment options based on your specific situation. Do not hesitate to seek medical advice, especially if you experience increased pain, bleeding, or any other concerning symptoms.

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