Soft Bumps Near the Anus: Causes and Concerns - Surgery

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Soft growths around the anal area?


Doctor, I noticed a small soft bump at the anal opening while taking a shower.
It feels slightly painful when touched.
What could this be?

Miss Lin, 30~39 year old female. Ask Date: 2024/03/16

Dr. Zhang Shuhao reply Surgery


Common conditions include thrombosed hemorrhoids, external hemorrhoids, anal skin tags, and localized skin infections.
It is recommended to consult a dermatologist or a colorectal specialist for a professional diagnosis and advice to determine the nature of the protrusion and receive appropriate treatment.
Avoid self-manipulation or squeezing to prevent worsening of symptoms.

Reply Date: 2024/03/16

More Info


When you notice soft bumps near the anus, it can be concerning, and it's important to understand the potential causes and implications. Based on your description of a soft, painful bump near the anus, there are several possibilities to consider.

1. Hemorrhoids: One of the most common causes of soft bumps around the anal area is hemorrhoids. These are swollen veins in the rectal area that can become inflamed and painful. Hemorrhoids can be either internal or external. External hemorrhoids are located under the skin around the anus and can cause discomfort, especially when sitting or during bowel movements. Symptoms may include itching, pain, and sometimes bleeding.

2. Anal Abscess: An anal abscess is a collection of pus that can form near the anus due to infection. This condition can cause a painful lump and may be accompanied by fever, swelling, and redness in the area. If the abscess is not treated, it can lead to more serious complications.

3. Anal Warts: Caused by the human papillomavirus (HPV), anal warts can appear as soft, fleshy bumps around the anus. They are usually painless but can cause discomfort depending on their size and location.

4. Skin Tags: These are benign growths that can occur around the anal area. They are usually painless and soft but can become irritated or painful if they are rubbed or pinched.

5. Fistula: 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 discomfort and may produce a discharge.

6. Other Conditions: There are other less common conditions that could cause bumps near the anus, including infections, cysts, or even skin conditions like psoriasis or eczema.

Given that you are experiencing pain when touching the bump, it is advisable to consult a healthcare professional for a thorough examination. They may perform a physical examination and, if necessary, additional tests to determine the exact cause of the bump.
In the meantime, here are some general recommendations:
- Avoid Straining: If you are experiencing hemorrhoids, avoid straining during bowel movements, as this can exacerbate the condition.

- Warm Baths: Taking warm baths can help alleviate discomfort and promote healing.

- Over-the-Counter Treatments: Depending on the diagnosis, over-the-counter treatments for hemorrhoids or topical creams for warts may provide relief.

- Maintain Hygiene: Keeping the area clean and dry can prevent infections and further irritation.

It's important to avoid self-diagnosing or self-treating, as some conditions may require specific treatments or interventions. If the bump persists, worsens, or is accompanied by other symptoms such as bleeding, fever, or significant pain, seek medical attention promptly. Early diagnosis and treatment can help prevent complications and ensure better outcomes.

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