Growths Near the Anus: Causes and Treatments - Internal Medicine

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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: 2022/09/24

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, it seems to be a benign anal cyst.
If it is not causing significant issues, you can apply some anti-inflammatory and antibacterial ointments.
If it is causing discomfort, 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: 2022/09/24

More Info


Understanding growths near the anus can be concerning, especially when they have persisted for a long time, such as in your case where you have had a growth for 10 years. The growth you are experiencing could be one of several conditions, including hemorrhoids, anal warts, skin tags, or even more serious conditions like anal fissures or tumors. It is essential to consider the characteristics of the growth, such as its size, shape, color, and any associated symptoms like pain, bleeding, or discharge.

1. Hemorrhoids: These are swollen blood vessels in the rectal area that can cause discomfort and may lead to the formation of lumps. They can be internal or external and often cause symptoms like itching, pain, and sometimes bleeding during bowel movements.

2. Anal Warts: Caused by the human papillomavirus (HPV), anal warts can appear as small, flesh-colored or gray growths. They may be accompanied by itching or discomfort and can sometimes produce a discharge.

3. Skin Tags: These are benign growths that can occur around the anal area. They are usually painless and do not require treatment unless they become irritated or uncomfortable.

4. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to pain and bleeding, and sometimes a growth may form as a result of chronic irritation.

5. Tumors: While less common, growths near the anus can also be indicative of more serious conditions, including anal cancer. Symptoms may include persistent pain, changes in bowel habits, or unusual discharge.

Given that you have experienced this growth for a decade and have noted some discharge, it is crucial to seek medical evaluation. A healthcare professional, such as a gastroenterologist or a colorectal surgeon, can perform a thorough examination, which may include a physical examination and possibly imaging studies or biopsies if necessary.
Treatment Options:
- Observation: If the growth is benign and asymptomatic, your doctor may recommend simply monitoring it over time.

- Medications: For conditions like hemorrhoids, topical treatments or oral medications may help alleviate symptoms.

- Surgical Removal: If the growth is bothersome, painful, or suspected to be malignant, surgical removal may be necessary.

- Lifestyle Modifications: Increasing fiber intake, staying hydrated, and practicing good bowel habits can help prevent conditions like hemorrhoids and fissures.

In conclusion, while there are various potential causes for the growth near your anus, it is essential to consult with a healthcare provider for a proper diagnosis and treatment plan. Early intervention can help prevent complications and ensure that any serious conditions are addressed promptly.

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