Soft Growth Near Anus: Causes and When to Seek Surgery - Surgery

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There are small lumps near the anus?


Hello Doctor, I have been experiencing constipation for a long time, and recently I noticed a soft lump near my anus, approximately 0.5 to 1 cm in size.
It is very soft, and there is no sensation when I press or touch it.
There is no bleeding or pain during bowel movements.
I haven't paid much attention to it, so I can't provide an exact timeline, but I estimate that the lump has been present for over a year without any significant changes.
I would like to ask what this lump might be and whether surgical removal is necessary.
Thank you for your response.

90, 20~29 year old female. Ask Date: 2023/01/07

Dr. Zhang Shuhao reply Surgery


A painless lump near the anus is most commonly hemorrhoids or skin tags.
If there are no symptoms, treatment may not be necessary.
However, if there is bleeding, discharge, swelling, hard lumps, or noticeable changes in size, it is advisable to seek medical evaluation.
If the benign lesion is bothersome, local excision can be performed.

Reply Date: 2023/01/07

More Info


The soft growth near your anus that you have described could potentially be a number of benign conditions, such as a hemorrhoid, a skin tag, or a polyp. Given that it is soft, non-painful, and does not bleed during bowel movements, it is likely to be a benign growth. However, it is essential to understand the characteristics of these conditions to determine whether surgical intervention is necessary.

1. Hemorrhoids: These are swollen veins in the lower rectum or anus and can be internal or external. External hemorrhoids can sometimes feel like a soft lump near the anus. They are often associated with symptoms such as itching, discomfort, or bleeding, especially during bowel movements. Since you mentioned that there is no bleeding or pain, it may not be a hemorrhoid.

2. Skin Tags: These are small, soft, benign growths that can appear in various areas of the body, including the anal region. They are usually painless and do not cause any symptoms unless they become irritated. Skin tags are often a result of friction or irritation and can be removed surgically if they become bothersome.

3. Polyps: These are growths on the lining of the colon or rectum. While they are often benign, some can develop into cancer over time. Polyps can vary in size and may not cause symptoms. However, if you have a polyp, it is generally recommended to have it evaluated and possibly removed, especially if it is larger or if there is a family history of colorectal cancer.

Given that the growth has been present for over a year without any significant changes or symptoms, it is likely benign. However, it is crucial to have it evaluated by a healthcare professional. They may perform a physical examination and possibly a colonoscopy to ensure that it is not a polyp or another condition that requires treatment.


When to Seek Surgery
Surgery may be considered if:
- The growth becomes painful or starts to bleed.

- It changes in size or appearance.

- It causes discomfort or interferes with daily activities.

- There is uncertainty about the nature of the growth, and a biopsy is needed for diagnosis.

In general, if the growth is asymptomatic and not causing any issues, many healthcare providers may recommend a watchful waiting approach. However, if you have concerns or if the growth changes, it is advisable to consult with a healthcare provider for further evaluation.


Conclusion
In summary, while the soft growth near your anus is likely benign, it is essential to have it assessed by a healthcare professional to rule out any serious conditions. If it is determined to be a hemorrhoid or skin tag, treatment may not be necessary unless it becomes bothersome. If it is a polyp, removal may be recommended to prevent potential complications. Regular check-ups and monitoring any changes in the growth are essential for maintaining your health.

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