Concerns About Finding a Hard Lump During Self-Examination - Surgery

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During a self-examination, a lump or nodular mass was felt?


Hello Doctor, recently during a self-examination, I felt a small, approximately 1-2 millimeter, granular object on the inner wall of my rectum.
The texture of the object is hard and not smooth, and it does not cause pain when touched.
After withdrawing my finger, there was a very small amount of mucus with a slight odor (the smell is faint and difficult to identify).
I am somewhat concerned that it might be a polyp (or it could just be feces).
I hope you can help me assess the situation a bit, as I have been quite busy lately.
I would like to know if it is necessary to address this issue promptly.
Thank you for your assistance, Doctor.

Hong, 20~29 year old female. Ask Date: 2022/06/06

Dr. Chen Ronghong reply Surgery


Hello, the simplest way is to wait until your next bowel movement and touch it again.
If it still exists, it is unlikely to be feces.
The normal intestinal wall has folds, but there should not be any hard lumps or rough surfaces.
Therefore, if the small hard lump you mentioned persists, it is advisable to seek medical attention for a diagnosis from a doctor.

Reply Date: 2022/06/06

More Info


When you discover a hard lump during a self-examination, especially in a sensitive area like the rectum, it is natural to feel concerned. Based on your description, the lump you felt is approximately 1-2 millimeters in size, hard, and not smooth, with no pain upon touching it. Additionally, you noted the presence of a small amount of mucus and a faint odor.
First and foremost, it is essential to understand that any new or unusual growth in the body warrants further investigation. The characteristics of the lump you described could potentially indicate several conditions, including hemorrhoids, polyps, or even fecal matter that has hardened. However, without a physical examination and possibly imaging studies, it is challenging to provide a definitive diagnosis.


Possible Conditions
1. Hemorrhoids: These are swollen veins in the rectal area that can sometimes feel like lumps. They can be internal or external and may not always be painful. If the lump is indeed a hemorrhoid, it may resolve with lifestyle changes, such as increased fiber intake and hydration.

2. Polyps: Rectal polyps are growths on the lining of the rectum that can vary in size and shape. While many polyps are benign, some can develop into cancer over time. The fact that the lump is hard and not smooth could raise suspicion for a polyp, especially if it persists.

3. Fecal Matter: Sometimes, hardened stool can feel like a lump, especially if there is a history of constipation. The presence of mucus and odor could suggest that this is a possibility.

4. Other Conditions: There are other potential causes, such as infections, abscesses, or more serious conditions like tumors.

Recommendations
Given your busy schedule, it might be tempting to delay seeking medical advice. However, it is crucial to prioritize your health. Here are some steps you should consider:
- Schedule a Medical Appointment: It is advisable to see a healthcare provider, preferably a gastroenterologist or a colorectal specialist. They can perform a thorough examination, which may include a digital rectal exam, anoscopy, or colonoscopy, to visualize the area and determine the nature of the lump.

- Monitor Symptoms: Keep track of any changes in your symptoms. Note if you experience any pain, bleeding, changes in bowel habits, or if the lump changes in size or texture.

- Lifestyle Adjustments: While waiting for your appointment, consider making dietary changes to promote regular bowel movements. Increasing fiber intake through fruits, vegetables, and whole grains can help prevent constipation and reduce strain during bowel movements.

- Avoid Self-Diagnosis: While it is good to be informed, self-diagnosing can lead to unnecessary anxiety. Rely on professional medical advice for an accurate diagnosis and treatment plan.


Conclusion
In summary, while the lump you discovered could be benign, it is essential to consult a healthcare professional to rule out any serious conditions. Early detection and intervention are key to managing any potential issues effectively. Do not hesitate to seek medical attention, as your health is paramount.

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