Red Bump Near Anus: Causes, Symptoms, and Treatment Options - Surgery

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Red fleshy growth at the anal opening?


Hello, I have a red lump at the anal opening that usually has some discharge and also bleeds.
It has been present for about 10 years.
I would like to know what it might be.

K, 20~29 year old female. Ask Date: 2023/02/22

Dr. Peng Xianwen reply Surgery


Given your age, the likelihood of hemorrhoids may be higher; however, it is still recommended to seek medical evaluation to confirm the diagnosis and determine the subsequent treatment plan.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Reply Date: 2023/02/22

More Info


The presence of a red bump near the anus, especially one that has persisted for a long time (in your case, about 10 years), can be concerning and warrants a thorough evaluation. There are several potential causes for such a bump, and understanding these can help guide appropriate treatment options.


Possible Causes
1. Hemorrhoids: One of the most common causes of a red bump near the anus is hemorrhoids, which are swollen blood vessels in the rectal area. They can be internal or external and may cause symptoms such as bleeding, itching, and discomfort. External hemorrhoids can appear as a painful lump around the anus.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to pain, bleeding, and sometimes the formation of a bump or lump.

3. Skin Tags: These are benign growths of skin that can occur around the anal area, often as a result of previous irritation or inflammation. They are usually painless but can be bothersome.

4. Abscesses: An anal abscess is a collection of pus that can form due to infection. It may present as a painful, swollen area near the anus and can be accompanied by fever and general malaise.

5. Fistulas: An anal fistula is a small tunnel that can develop between the end of the bowel and the skin near the anus, often as a result of an abscess. It can cause persistent drainage and discomfort.

6. Warts or Condylomas: These are caused by the human papillomavirus (HPV) and can appear as small, fleshy bumps around the anal area.

7. Skin Conditions: Conditions such as psoriasis or eczema can also cause red, inflamed areas around the anus.


Symptoms to Monitor
- Bleeding: If you notice blood in your stool or on toilet paper, this should be evaluated by a healthcare professional.

- Pain: Persistent pain or discomfort in the area can indicate a more serious condition.

- Changes in Size or Appearance: If the bump changes in size, color, or shape, it is important to seek medical advice.

- Discharge: Any unusual discharge, especially if it is foul-smelling, should be assessed.


Treatment Options
1. Lifestyle Modifications: Increasing fiber intake, staying hydrated, and avoiding straining during bowel movements can help manage hemorrhoids and fissures.

2. Topical Treatments: Over-the-counter creams and ointments can provide relief from itching and discomfort associated with hemorrhoids and skin tags.

3. Sitz Baths: Soaking in warm water can help soothe irritation and promote healing.

4. Medical Interventions: If the bump is determined to be a hemorrhoid, fissure, or abscess, your healthcare provider may recommend procedures such as rubber band ligation for hemorrhoids, surgical drainage for abscesses, or other interventions.

5. Surgical Options: For persistent or problematic skin tags, warts, or fistulas, surgical removal may be necessary.


When to See a Doctor
Given that you have had this bump for a decade, it is advisable to consult a healthcare professional for a thorough examination. They may perform a physical examination and possibly recommend imaging studies or a biopsy to determine the exact nature of the bump. Early diagnosis and treatment can prevent complications and improve your quality of life.

In summary, while there are several potential causes for a red bump near the anus, a healthcare professional can provide the most accurate diagnosis and appropriate treatment options based on your specific situation. Do not hesitate to seek medical attention, especially given the duration and symptoms you have described.

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