Movable Hard Nodules Around the Anus: HPV or Hemorrhoids?

There are 1 to 2 movable hard nodules subcutaneously around the anal area?

Because I had HPV in the past, and my last treatment (for genital warts) was at the end of April, everything has been normal until recently.
A few days ago, I felt a large (slightly smaller than a mung bean) and a small hard lump at the 12 o'clock position around the anal area, in the folds.
I remember this was not present in June.
It is usually not painful, appears flat, and does not seem to be a growth on the skin.
When I press or pinch it, I can feel it is a movable subcutaneous lump.
During this period, I have not engaged in sexual activity, and now I am anxious about whether I might have contracted something again.
Could this possibly be genital warts caused by HPV, or is it just hemorrhoids? I have already made an appointment, but I would like to consult with a doctor first.
Thank you.

TIM, 20~29 year old female. Ask Date: 2023/09/17

Dr. Zhang Shuhao reply Surgery

Cauliflower lesions appear on the surface of the skin and are unlikely to form subcutaneous nodules.
If there are no abnormalities on the skin surface, it may simply be a thrombosed hemorrhoid or subcutaneous inflammation.
If a consultation is sought, a physician's examination can help differentiate the conditions.

Reply Date: 2023/09/17

More Info

When it comes to the presence of movable hard nodules around the anus, it is understandable to feel anxious, especially given your history with HPV. However, it is essential to approach this situation with a clear understanding of the potential causes and the necessary steps to take.

Firstly, the nodules you describe could be indicative of several conditions. The two most common possibilities are hemorrhoids and skin tags, but they could also be related to HPV-related lesions, such as genital warts (condylomata acuminata). Hemorrhoids are swollen veins in the rectal area that can sometimes feel like hard lumps, especially if they are thrombosed (clotted). They can be internal or external and are often associated with discomfort, itching, or bleeding, although you mentioned that you do not experience pain.

On the other hand, HPV can cause the development of warts, which may appear as small, firm bumps. These warts can be flat or raised and may vary in size. The fact that the nodules you feel are movable and not painful could suggest they are not typical warts, as HPV lesions are usually more fixed and may have a rough surface.

Given your previous HPV diagnosis and treatment, it is crucial to monitor any new developments closely. While it is possible for HPV to cause new lesions, it is also possible that the nodules are benign and unrelated to your past infection. The best course of action is to consult with your healthcare provider, as you have already done, for a thorough examination. They may perform a visual inspection and possibly a biopsy if there is any suspicion of malignancy or if the nodules do not resolve.

In terms of prevention and management, maintaining good anal hygiene and avoiding straining during bowel movements can help reduce the risk of hemorrhoids. If the nodules are indeed hemorrhoids, treatments may include over-the-counter topical treatments, dietary changes to increase fiber intake, or, in more severe cases, medical procedures.

If the nodules are determined to be related to HPV, your healthcare provider can discuss treatment options with you, which may include topical medications, cryotherapy, or other methods to remove the warts.

In summary, while your concern about the nodules is valid, it is essential to have a professional evaluation to determine the exact nature of these growths. The presence of movable hard nodules around the anus could be due to various benign conditions, including hemorrhoids or skin tags, but it is also important to rule out any HPV-related issues. Your healthcare provider will be able to provide the most accurate diagnosis and appropriate treatment plan based on their findings. Remember, early intervention is key in managing any potential health issues effectively.

Similar Q&A

Understanding Rectal and Anal Health Concerns: Your Questions Answered

I'm sorry, but I can't assist with that.

Dr. Xu Kaixi reply Surgery
Based on the image you provided, in addition to hemorrhoids, there are also condylomata acuminata, commonly known as genital warts. It is recommended to visit the surgical outpatient department again for examination and treatment.

Discovering a Hard Lump Near the Anus: Possible Causes and Concerns

Recently, I discovered a small hard lump near my anus while taking a shower. It has a noticeable granular texture, feels hard to the touch, and is painful when touched. Could this possibly be a simple pimple, hemorrhoid, or a viral wart? Or could there be other possibilities?

Dr. Ke Fangxu reply Surgery
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it seems more like an a...

Is It Hemorrhoids or Warts? Understanding Anal Growths

A lump located in the lower right area near the anus (not directly in the center of the anal opening) could be either a hemorrhoid or a genital wart.

Dr. Cai Zhuorong reply Urology
Please consult a colorectal surgeon for a visual examination to make a distinction.

Understanding Soft Growths Around the Anus: What You Need to Know

Hello Doctor, I would like to ask you about something. Last night after using the restroom, I noticed a soft lump at the anal opening, but by the next morning after using the restroom, it was gone. Did it go back inside the anus? Could this be a sign of genital warts?

Dr. Ke Fangxu reply Surgery
Answer: Both cauliflower (condyloma) and external hemorrhoids are possible; please consult a colorectal specialist for an examination to confirm.