Growths Near the Anus: Causes, Symptoms, and Treatment Options

Growths near the anus?

I have developed several small bumps of varying sizes near my anus.
They are usually not painful but can be itchy.
If I wipe too hard, they bleed.
This has been going on for over two months, and the number of bumps seems to be increasing.
I'm unsure what this could be and how to treat it, as well as which medical specialty I should consult.
I have had a few sexual experiences, but I always used condoms.
Could this be a sexually transmitted infection?

Xiao Dai Gua, 20~29 year old female. Ask Date: 2001/01/25

Dr. Liu Jianting reply Urology

It's really a "little silly," having something grow near the anus and allowing you to "play" with it for two months.
You should quickly go to the hospital and consult a colorectal surgeon or a urologist for an evaluation.

Reply Date: 2001/01/25

More Info

Understanding growths near the anus can be concerning, especially when they cause discomfort or bleeding. Based on your description, it sounds like you may be experiencing a condition that could be related to several potential causes, including hemorrhoids, anal warts, or skin tags.

Causes
1. Hemorrhoids: These are swollen veins in the lower rectum and anus that can cause itching, discomfort, and bleeding, especially during bowel movements. They can be internal or external, with external hemorrhoids being more likely to cause noticeable lumps around the anus.

2. Anal Warts: Caused by the human papillomavirus (HPV), anal warts can appear as small growths or lumps near the anus. They can be itchy and may bleed if irritated.

3. Skin Tags: These are benign growths that can occur in various areas of the body, including around the anus. They are usually painless but can become irritated and bleed if they are rubbed or scratched.

4. Fungal or Bacterial Infections: Sometimes, infections can lead to growths or lesions around the anal area, which may also cause itching and discomfort.

Symptoms
The symptoms you described—itching, bleeding when wiping, and the presence of multiple growths—are common with hemorrhoids and anal warts. The fact that they have been present for over two months and are increasing in number is a sign that you should seek medical attention.

Treatment Options
1. Consult a Healthcare Provider: The first step is to see a healthcare professional, preferably a gastroenterologist or a proctologist, who specializes in conditions of the rectum and anus. They can perform a physical examination and may recommend further tests if necessary.

2. Over-the-Counter Treatments: For hemorrhoids, there are various over-the-counter creams and ointments that can help reduce swelling and relieve itching. However, these should be used under the guidance of a healthcare provider.

3. Prescription Medications: If the growths are determined to be anal warts, your doctor may prescribe topical treatments or recommend procedures such as cryotherapy (freezing the warts), laser treatment, or surgical removal.

4. Lifestyle Changes: Increasing fiber intake, staying hydrated, and avoiding straining during bowel movements can help manage and prevent hemorrhoids.

Regarding Sexual Activity
You mentioned having sexual experiences with condom use, which significantly reduces the risk of sexually transmitted infections (STIs), including HPV. However, condoms do not provide 100% protection, especially if there are areas not covered by the condom. If you are concerned about STIs, it would be wise to discuss this with your healthcare provider, who may recommend STI testing as part of your evaluation.

Conclusion
In summary, the growths near your anus could be due to several conditions, and it is essential to get a proper diagnosis from a healthcare professional. Early intervention can lead to effective treatment and relief from symptoms. Do not hesitate to seek medical attention, as this is a common issue, and healthcare providers are well-equipped to help you.

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