Should I Seek Immediate Medical Attention for My Rectal Lump?

Am I suffering from thrombosed external hemorrhoids or varicose veins?

A week ago, a lump the size of a five-dollar coin appeared on the left side outside the anus.
Over the past three days, it has grown larger to the point of rubbing against my right buttock, causing significant swelling and unbearable pain.
I have been taking sitz baths twice daily for the past three days and just took medication for venous dilation along with an ointment.
Should I seek immediate medical attention?

Xiao Wu, 40~49 year old female. Ask Date: 2022/09/05

Dr. Ke Fangxu reply Surgery

If the lump gradually increases in size, it may not be a hemorrhoid; the possibility of an anal abscess is higher.
It is recommended that you seek medical attention promptly for a physician to examine you to prevent serious conditions such as sepsis or perineal abscess.

Reply Date: 2022/09/05

More Info

Based on your description, the lump you are experiencing near your rectal area, which has grown in size and is causing significant discomfort, warrants immediate medical attention. Here are several reasons why you should seek medical care as soon as possible:
1. Size and Growth: The fact that the lump has increased in size from the size of a coin to a point where it is causing friction and pain indicates that it may be a developing condition that requires evaluation. Rapid growth of a lump can be a sign of an underlying issue that needs to be addressed.

2. Pain and Discomfort: Severe pain and discomfort are significant indicators that something may be wrong. Pain can be a sign of inflammation, infection, or other complications that could worsen if not treated promptly.

3. Potential for Infection: If the lump is an abscess or a hemorrhoid, there is a risk of infection. Infections in the anal region can lead to more severe complications, including systemic infection if bacteria enter the bloodstream.

4. Differential Diagnosis: There are various potential causes for a lump in the rectal area, including hemorrhoids, abscesses, skin tags, or even more serious conditions such as tumors. A healthcare professional can perform a physical examination and possibly imaging studies to determine the exact nature of the lump.

5. Treatment Options: Depending on the diagnosis, treatment may vary. If it is an abscess, it may require drainage. If it is a hemorrhoid, there are various treatment options available, including topical treatments, lifestyle changes, or surgical interventions if necessary.

6. Avoiding Complications: Delaying medical attention could lead to complications, such as worsening pain, increased swelling, or the development of an infection that could spread. Early intervention can often lead to better outcomes and quicker recovery.

7. Self-Care Measures: While you have been using sitz baths and topical medications, these may provide temporary relief but are unlikely to resolve the underlying issue if it is more serious. Professional evaluation is essential to ensure appropriate treatment.

In conclusion, given the symptoms you are experiencing—rapid growth of the lump, significant pain, and discomfort—it is advisable to seek immediate medical attention. A healthcare provider can assess your condition, provide a proper diagnosis, and recommend an appropriate treatment plan. Do not hesitate to go to the emergency room or an urgent care facility if you feel that your symptoms are severe or worsening. Your health and well-being are paramount, and timely medical intervention can make a significant difference in your recovery.

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