a Small White Bump Inside the Anus: Symptoms and Treatment

There is a small white spot on the inner wall of the anus?

Due to issues with constipation and bloating, I have been using glycerin suppositories to relieve constipation and gas.
Recently, after using the suppositories twice with too much force, I noticed that I was digging into my rectum to remove the stool and relieve gas.
As a result, the inner side of my anus has slightly protruded, and I felt a small white bump that resembles a tiny pimple.
What could this symptom be, and how should it be treated?

Xiao Feng, 40~49 year old female. Ask Date: 2022/05/27

Dr. Zhang Shuhao reply Surgery

The small white spots may be papillomas formed after anal fissures or injuries to the rectum.
If they are painful, they could be ulcers.
It is recommended to reduce the frequency of self-administered enemas and to improve dietary habits to aid bowel movements.
The likelihood of malignant lesions is low, but if there are concerns, it is advisable to visit a colorectal clinic for examination, where medications to assist with bowel movements can also be prescribed.

Reply Date: 2022/05/27

More Info

The presence of a small white bump inside the anus, especially after experiencing constipation and using glycerin suppositories, can be concerning. Based on your description, it is possible that what you are experiencing is a hemorrhoid, a skin tag, or a small anal fissure. Each of these conditions has distinct characteristics and treatment options.

Possible Causes
1. Hemorrhoids: These are swollen veins in the lower rectum or anus. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms may include pain, itching, and the presence of a lump. If the hemorrhoid is thrombosed (contains a clot), it can appear as a hard lump and may be painful.

2. Anal Skin Tags: These are small, benign growths of skin that can occur around the anus. They are usually painless and may appear after episodes of straining during bowel movements or after hemorrhoids have resolved.

3. Anal Fissures: These are small tears in the lining of the anus that can occur due to passing hard stools. They may cause pain and bleeding during bowel movements. While fissures typically do not present as bumps, they can lead to the formation of tags or bumps around the anal area.

4. Infections or Warts: In some cases, a small bump could be a sign of an infection or a genital wart, especially if there are other symptoms like itching or unusual discharge.

Treatment Options
1. Home Care:
- Warm Sitz Baths: Soaking in warm water for 10-15 minutes several times a day can help relieve discomfort and promote healing.

- Over-the-Counter Treatments: Creams or ointments containing hydrocortisone can reduce inflammation and itching. Witch hazel pads can also provide relief.

- Dietary Changes: Increasing fiber intake and staying hydrated can help prevent constipation, reducing the need for straining during bowel movements.

2. Medical Treatment:
- If the bump is determined to be a hemorrhoid, treatments may include rubber band ligation, sclerotherapy, or surgical removal in more severe cases.

- For skin tags, if they are bothersome, they can be removed surgically by a healthcare provider.

- Anal fissures may require topical medications, such as nitroglycerin ointment or calcium channel blockers, to promote healing and relieve pain.

3. When to See a Doctor:
- If the bump persists, increases in size, or is accompanied by severe pain, bleeding, or changes in bowel habits, it is essential to consult a healthcare provider. They can perform a thorough examination and provide a definitive diagnosis and treatment plan.

Conclusion
In summary, the small white bump you are experiencing could be related to hemorrhoids, skin tags, or anal fissures, especially given your history of constipation and straining. It is crucial to adopt preventive measures to avoid further irritation and to seek medical advice if symptoms persist or worsen. A healthcare professional can provide a proper diagnosis and recommend appropriate treatment based on your specific condition.

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