Anal Masses: When to Seek Medical Attention - Surgery

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When it comes to anal masses or any unusual symptoms in the anal region, it is essential to take them seriously, especially if they are recurrent or worsening. Based on your description, it seems that you are experiencing pain and a hard lump near the anus, particularly after episodes of diarrhea. This could potentially indicate several conditions, including hemorrhoids, anal fissures, or even more serious issues such as abscesses or tumors.


When to Seek Medical Attention
1. Persistent Symptoms: If the pain and lump persist or worsen, it is advisable to seek medical attention. Given that this is your third episode and the lump seems larger than before, a thorough evaluation is warranted.

2. Changes in Symptoms: If you notice any changes such as increased pain, swelling, redness, or discharge, these could be signs of an infection or other complications that require immediate medical attention.

3. Impact on Daily Life: If the pain is affecting your ability to sit comfortably or perform daily activities, this is another reason to consult a healthcare professional.

4. Previous Medical Advice: Since you mentioned that a doctor previously dismissed your concerns, it may be beneficial to seek a second opinion. Sometimes, symptoms can be overlooked, especially if they are not present during the examination.


Possible Conditions
- Hemorrhoids: Swollen veins in the rectal area can cause pain, especially after straining during bowel movements. They can also lead to lumps that may come and go.


- Anal Fissures: These are small tears in the lining of the anus that can cause significant pain, especially during bowel movements. They may also lead to muscle spasms in the anal sphincter.

- Abscess: An anal abscess is a collection of pus that can occur due to infection. It can cause swelling and pain and may require drainage.

- Fistula: This is an abnormal connection between the anal canal and the skin, often resulting from a previous abscess.

- Tumors: Although less common, anal tumors can present as masses and should be ruled out, especially if there are concerning symptoms.


Recommended Actions
1. Consult a Specialist: It would be wise to see a colorectal specialist or a gastroenterologist who can perform a thorough examination, possibly including a digital rectal exam or imaging studies if necessary.

2. Document Symptoms: Keep a record of your symptoms, including when they occur, their severity, and any associated factors (like diet or bowel habits). This information can be helpful for your healthcare provider.

3. Avoid Self-Diagnosis: While topical treatments like the one you mentioned (樂癒痔) may provide temporary relief for hemorrhoids, they do not address the underlying issue. It is crucial to understand the cause of your symptoms before deciding on treatment.

4. Diet and Lifestyle: Ensure you are consuming a high-fiber diet and staying hydrated to prevent constipation and straining during bowel movements, which can exacerbate symptoms.


Conclusion
In summary, given the recurrence and worsening of your symptoms, it is advisable to seek medical attention. A healthcare professional can provide a proper diagnosis and treatment plan tailored to your specific condition. Early intervention can prevent complications and improve your quality of life. Don't hesitate to advocate for your health and seek a second opinion if necessary.