Rectal Hard Lumps: Causes and Concerns - Surgery

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There is something in the rectal area of the anus?


Today, when I felt a blockage in my stomach, I performed a mild enema with water and used my finger to gently explore inside my anus.
I applied lubricant, and as my finger went deeper, around the second knuckle of my middle finger, I felt a small, round, slightly hard lump, but it wasn't painful.
What could be the possible reason for this?

Ke Xiansheng, 20~29 year old female. Ask Date: 2022/08/13

Dr. Yu Mingchang reply Surgery


Take a look at colorectal surgery.

Reply Date: 2022/08/13

More Info


When it comes to discovering hard lumps in the rectal area, it is essential to approach the situation with caution and seek medical advice. The presence of a hard lump can be attributed to various causes, and understanding these potential reasons is crucial for addressing any underlying health concerns.

One possible explanation for a hard lump in the rectal area could be the formation of a hemorrhoid. Hemorrhoids are swollen veins in the lower rectum or anus that can become hard and painful, although some may not cause discomfort. They can develop due to increased pressure in the rectal area, often resulting from straining during bowel movements, prolonged sitting, or pregnancy. While external hemorrhoids are visible, internal hemorrhoids may not be felt unless they protrude.

Another potential cause could be a rectal polyp. 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. It is important to monitor any changes in size or symptoms associated with the polyp, such as bleeding or changes in bowel habits.

Additionally, anal fissures, which are small tears in the lining of the anus, can sometimes feel like hard lumps. They may not always be painful, especially if they are healing, but they can cause discomfort during bowel movements.

In some cases, a hard lump may indicate a more serious condition, such as a rectal abscess or a tumor. An abscess is a collection of pus that can form due to infection, leading to swelling and hardness in the area. Tumors, whether benign or malignant, can also present as hard lumps and require immediate medical evaluation.

Given that you mentioned the lump is not painful, it may suggest that it is not an acute issue, but it is still essential to have it evaluated by a healthcare professional. They may perform a physical examination and possibly recommend imaging studies or a colonoscopy to further investigate the lump's nature.

It is crucial to avoid self-diagnosing or attempting to treat the lump without professional guidance. While some conditions may resolve on their own, others may require intervention to prevent complications. Early detection and treatment are vital, especially for conditions that could lead to more severe health issues.

In summary, the hard lump you felt in the rectal area could be due to several reasons, including hemorrhoids, polyps, anal fissures, or more serious conditions like abscesses or tumors. It is imperative to consult a healthcare provider for a thorough evaluation and appropriate management. They will be able to provide you with a definitive diagnosis and recommend the best course of action based on your specific situation. Remember, your health is paramount, and addressing any concerns promptly can lead to better outcomes.

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