Rectal Bumps: Possible Causes and When to Seek Help

The presence of small growths or lumps around the anus could indicate several conditions, such as hemorrhoids, anal warts, or skin tags. It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment?

Hello Doctor: About this time last year, my sleep schedule was quite poor (going to bed around two or three in the morning), and my bowel habits were irregular, sometimes going two to three days without a bowel movement.
There were a couple of instances of rectal bleeding, with bright red blood being quite noticeable.
Each time, the bleeding would resolve after a few days, so I didn't seek medical attention.
This year, I've made some adjustments to my schedule and bowel habits, and I've started jogging every two to three days, which has resolved the bleeding issue.

However, I recently noticed something unusual around my anus; it seems different from what is typical.
After washing my hands thoroughly, I touched the area and felt a slight protrusion, which causes a mild pain only when pressed.
Generally, there is no pain or itching, and I don't experience discomfort while standing, sitting, walking, or jogging, nor is there pain during bowel movements, so I haven't paid much attention to it.

A few days ago, I noticed that my stool was a bit dry (without any blood).
While wiping, I observed that this area seems to be more protruded than before, and occasionally, when I tighten my anal sphincter, I feel a strange sensation.
I've started taking warm sitz baths over the past few days, which has provided some relief.
However, I'm becoming more concerned about the possibility of a serious condition.
I typically have daily bowel movements, occasionally every two days, without any bleeding issues.
After using the restroom, I have a habit of rinsing with warm water.

I've attached a few links to illustrative images; if you are willing, could you please take a look and let me know if it could possibly be hemorrhoids or something similar?
https://img.onl/fMZxcr
https://img.onl/xSTq2P
https://img.onl/i8a6iC

Mr. Huang XX, 20~29 year old female. Ask Date: 2021/12/16

Dr. Zhang Shuhao reply Surgery

It could be hemorrhoids or anal skin tags (often associated with anal fissures), and the likelihood of malignancy is low.
If there are no symptoms, treatment may not be necessary.
However, if you are still concerned, you can visit a colorectal surgeon for an examination.
Wishing you a speedy recovery.

Reply Date: 2021/12/16

More Info

When it comes to rectal bumps or abnormalities, there are several potential causes, and it’s essential to understand when to seek medical help. Based on your description, it seems you have experienced some changes around the anal area, including a bump that is tender when pressed. Given your history of rectal bleeding and changes in bowel habits, it’s understandable that you are concerned about what might be happening.

Possible Causes of Rectal Bumps
1. Hemorrhoids: One of the most common causes of bumps around the anus is hemorrhoids, which are swollen veins in the lower rectum and anus. They can be internal or external and may cause discomfort, itching, or bleeding, especially during bowel movements. Given your previous experience with bright red blood during bowel movements, this could be a likely cause.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to pain and bleeding during bowel movements. While fissures typically present with sharp pain, they can also cause some swelling or bumps around the anal area.

3. Skin Tags: These are benign growths that can occur around the anal area, often as a result of previous irritation or trauma. They are usually painless and may not require treatment unless they become bothersome.

4. Abscesses or Fistulas: An anal abscess is a collection of pus that can occur due to infection, often presenting as a painful lump. A fistula is an abnormal connection between the anal canal and the skin, which can develop after an abscess. Both conditions may require medical intervention.

5. Warts or Other Growths: Genital warts, caused by the human papillomavirus (HPV), can also appear around the anal area. Other growths, including benign tumors or, in rare cases, malignancies, could also present as bumps.

When to Seek Help
Given your symptoms and history, it is advisable to consult a healthcare professional, especially if:
- The bump persists or grows larger.

- You experience any new symptoms, such as increased pain, bleeding, or changes in bowel habits.

- You notice any changes in the characteristics of the bump, such as color or texture.

- You have a family history of colorectal issues or cancer.

Recommendations
1. Medical Evaluation: It’s crucial to have a thorough evaluation by a healthcare provider. They may perform a physical examination and possibly recommend further tests, such as a colonoscopy, to rule out any serious conditions.

2. Maintain Healthy Bowel Habits: Continue with your improved diet and exercise routine to promote regular bowel movements. Staying hydrated and consuming a high-fiber diet can help prevent constipation and reduce the risk of hemorrhoids and fissures.

3. Warm Sitz Baths: As you mentioned, warm sitz baths can provide relief from discomfort and promote healing in the anal area. This is a good practice to continue.

4. Avoid Straining: When using the bathroom, avoid straining, as this can exacerbate hemorrhoids and other anal conditions.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the size or pain level of the bump, and report these to your healthcare provider.

In conclusion, while your symptoms may be indicative of a benign condition such as hemorrhoids or skin tags, it is essential to seek medical advice to rule out any serious issues. Early diagnosis and treatment can lead to better outcomes and peace of mind.

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