Anal Masses: When to Seek Treatment and Concerns - Gastroenterology and Hepatology

Rectal foreign body

Hello, Doctor.
About 2 to 3 years ago, I discovered a soft, pea-sized lump at the anal opening.
The exact time of discovery is unclear, but it has been several years, and it remains the same size and condition.
In my daily life, including during bowel movements, it does not cause pain, bleeding, or any sensation of a foreign body.
When pressed, it feels slightly painful, similar to pressing a pimple, but otherwise, it does not cause any issues.
Recently, I have become concerned about whether it might worsen or if I need further treatment.
I found some information stating that if it does not affect daily life or cause pain, it may not require attention, while other sources suggest it could worsen and need treatment.
I am worried that online information may not be reliable, so I would like to ask for your professional judgment.

Xiao Yang, 10~19 year old female. Ask Date: 2023/08/18

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is just an anal polyp, and there is no major concern.

Reply Date: 2023/08/18

More Info

When it comes to anal masses, it is essential to approach the situation with caution and awareness. Based on your description, it seems that you have been living with a small, soft mass near your anus for several years without any significant symptoms such as pain, bleeding, or discomfort during bowel movements. This is a positive sign, as many benign conditions can present similarly. However, your concerns about potential changes or complications are valid and warrant further discussion.

Firstly, it’s important to understand that anal masses can arise from various causes, including benign conditions like hemorrhoids, skin tags, or warts, as well as more serious issues such as anal fissures, abscesses, or even malignancies. The fact that your mass has remained the same size and has not caused any significant symptoms is reassuring, but it does not entirely rule out the possibility of underlying issues.

In general, if an anal mass is asymptomatic and stable, many healthcare providers may recommend a watchful waiting approach. However, it is crucial to monitor for any changes in size, shape, or symptoms. If you notice any new symptoms such as increased pain, bleeding, changes in bowel habits, or if the mass begins to grow, it is essential to seek medical evaluation promptly.

Given your concerns about the potential for the mass to worsen, it would be prudent to schedule an appointment with a healthcare provider, preferably a gastroenterologist or a colorectal surgeon. They can perform a thorough examination, which may include a digital rectal exam or even imaging studies if necessary. This evaluation will help determine the nature of the mass and whether any treatment is required.

In terms of treatment, if the mass is found to be benign and asymptomatic, your doctor may recommend simply monitoring it. However, if there are signs of infection, significant growth, or if the mass is determined to be a more serious condition, treatment options may include surgical removal or other interventions.

It is also worth noting that while online resources can provide valuable information, they can sometimes lead to unnecessary anxiety or misinterpretation of symptoms. Consulting with a qualified healthcare professional is the best way to obtain accurate information tailored to your specific situation.

In summary, while your current situation seems stable, it is essential to remain vigilant and proactive about your health. Scheduling a consultation with a healthcare provider will provide you with clarity and peace of mind regarding the anal mass. Remember, early intervention is key in managing any potential health issues effectively.

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