Should You See a Surgeon for a Lump Near the Anus?

Spherical mass near the anus?

About a month ago, I discovered a round lump while taking a shower, approximately 1.2 centimeters in diameter.
I have a habit of sitting for long periods, and it usually doesn't hurt.
However, sometimes when I sit on a hard chair and accidentally move my buttocks, I experience a certain level of pain.
I can feel the lump with my hand, and it feels very round and can be grasped as a whole.
Do I need to see a surgical clinic? Thank you!

Mr. Lu, 10~19 year old female. Ask Date: 2022/09/18

Dr. Zhang Shuhao reply Surgery

A sudden appearance of a round, hard lump is most commonly associated with a thrombosed hemorrhoid, which is commonly referred to as an exacerbation of hemorrhoids.
This condition arises from subcutaneous bleeding due to the compression of blood vessels within the hemorrhoid.
It is advisable to take warm sitz baths, increase fluid intake and dietary fiber to prevent constipation, avoid prolonged sitting, and engage in more walking to enhance lower limb circulation.
Applying hemorrhoid ointment can also be beneficial.
Most cases show significant improvement within a week.

Reply Date: 2022/09/18

More Info

When it comes to a lump near the anus, it is essential to approach the situation with caution and seek medical advice. Given your description of the lump being approximately 1.2 cm in diameter, round, and occasionally painful when sitting on hard surfaces, it is advisable to consult with a healthcare professional, preferably a surgeon or a specialist in colorectal surgery.

There are several potential causes for a lump in this area, including but not limited to:
1. Hemorrhoids: Swollen blood vessels in the rectal area that can cause discomfort and may present as lumps. They can be internal or external, with external hemorrhoids often being more painful.

2. Abscess: A collection of pus that can occur due to infection. Abscesses can be painful and may require drainage.

3. Fistula: An abnormal connection between the rectum and the skin, often resulting from an abscess. Fistulas can lead to recurrent infections and discomfort.

4. Skin tags: These are benign growths that can occur after the resolution of hemorrhoids or due to friction in the area. They are usually painless but can become irritated.

5. Tumors: Although less common, lumps in the anal area can also be indicative of benign or malignant tumors. Early evaluation is crucial for proper diagnosis and treatment.

Given your symptoms and the characteristics of the lump, it is important to have it evaluated by a healthcare professional. They will likely perform a physical examination and may recommend imaging studies or other diagnostic tests to determine the nature of the lump.
In terms of urgency, while the lump is not causing constant pain, the fact that it is painful when sitting and has been present for a month warrants a timely evaluation. Delaying a visit could lead to complications, especially if the lump is an abscess or a more serious condition.

Regarding treatment, it will depend on the diagnosis. If it is hemorrhoids, conservative management with dietary changes, topical treatments, or procedures may be recommended. If it is an abscess, surgical drainage may be necessary. For skin tags, if they are bothersome, they can be removed surgically.

In conclusion, it is advisable to see a surgeon or a colorectal specialist for a thorough evaluation of the lump near your anus. Early diagnosis and treatment can prevent potential complications and provide peace of mind. Don't hesitate to seek medical attention, as it is always better to err on the side of caution when it comes to changes in your body.

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