Growths Near the Anus: Causes and Treatment Options

There is a lump in the anus?

Hello, I have had a growth near my anus for 10 years, and sometimes there is some discharge.
What could it be, and how should I handle it?

K, 20~29 year old female. Ask Date: 2022/09/23

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, it is likely a benign cyst in the anal area.
If it is not causing significant issues, you can apply some anti-inflammatory and antibacterial ointment.
If it becomes bothersome, you may consider surgical removal.
You can make an appointment with a colorectal surgeon, an anal surgeon, or a general surgeon.
Thank you for your inquiry.

Reply Date: 2022/09/23

More Info

When it comes to growths near the anus, there are several potential causes, and understanding these can help in determining the appropriate treatment options. Given that you have had this growth for ten years and have experienced some discharge, it is essential to consider a few possibilities.

One common type of growth in the anal region is a hemorrhoid, which can be either internal or external. Hemorrhoids are swollen blood vessels that can cause discomfort, itching, and sometimes bleeding. They can also produce mucus, which might explain the discharge you are experiencing. Treatment for hemorrhoids often includes lifestyle changes, such as increasing fiber intake, staying hydrated, and using topical treatments to relieve symptoms. In more severe cases, medical procedures may be necessary to remove the hemorrhoids.

Another possibility is an anal skin tag, which is a benign growth that can occur after the healing of hemorrhoids or due to friction in the area. Skin tags are usually painless and do not require treatment unless they become bothersome or irritated. If they do cause discomfort, they can be removed surgically.

A more concerning possibility is an anal fissure, which is a small tear in the lining of the anus. This can cause pain and bleeding during bowel movements and may lead to the formation of a growth if the fissure does not heal properly. Treatment typically involves topical medications, dietary changes, and in some cases, surgical intervention.

In rare cases, growths near the anus can be indicative of anal warts caused by the human papillomavirus (HPV), or even more serious conditions such as anal cancer. Anal warts can appear as small, fleshy bumps and may require treatment through topical medications or surgical removal. Anal cancer, while rare, is a serious condition that requires prompt medical evaluation and treatment.

Given the duration of your growth and the presence of discharge, it is crucial to seek a medical evaluation from a healthcare professional, preferably a gastroenterologist or a colorectal surgeon. They can perform a thorough examination, possibly including a digital rectal exam or anoscopy, to determine the nature of the growth and recommend appropriate treatment options.

In summary, while there are several benign causes for growths near the anus, such as hemorrhoids, skin tags, or anal fissures, it is essential to rule out more serious conditions. A healthcare professional can provide a definitive diagnosis and guide you through the best treatment options based on your specific situation. Please do not hesitate to seek medical advice, as early intervention can lead to better outcomes and alleviate any discomfort you may be experiencing.

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