Is It a Polyp or Hemorrhoid? Your Symptoms - Surgery

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Is it a polyp?


Hello, doctor.
Today while taking a shower, I noticed a small piece of tissue outside my anus.
I initially thought it was just leftover stool, but when I gently pulled on it, it was a bit painful.
I haven't experienced this symptom before, and my bowel movements have been normal without any abnormalities.
I'm not sure if this is hemorrhoids or a polyp.
Do I need surgery?

kiki, 20~29 year old female. Ask Date: 2004/09/19

Dr. Hou Yongji reply Surgery


Hello: Based on your description, it is not possible to accurately determine whether it is hemorrhoids or polyps.
Please consult a colorectal specialist for examination and treatment.

Reply Date: 2004/09/19

More Info


When it comes to distinguishing between hemorrhoids and polyps, it's essential to understand the characteristics of each condition, as well as the symptoms you are experiencing. Hemorrhoids are swollen veins in the lower rectum or anus, which can cause discomfort, pain, and bleeding during bowel movements. They can be internal or external; external hemorrhoids are located under the skin around the anus and can be felt as a lump or swelling. Symptoms often include itching, pain, and bright red blood on toilet paper or in the toilet bowl after a bowel movement.

On the other hand, polyps are growths that can form on the lining of the colon or rectum. They are usually benign (non-cancerous) but can sometimes develop into cancer over time. Polyps typically do not cause symptoms unless they are large or if they bleed. If you notice a new growth or change in your bowel habits, it’s essential to consult a healthcare professional for further evaluation.

In your case, the small piece of tissue you noticed near your anus could potentially be an external hemorrhoid, especially if it is painful when touched. The fact that you have not experienced any significant changes in your bowel habits or other symptoms such as weight loss or changes in stool consistency is reassuring. However, the pain you feel when you touch it is a common symptom associated with hemorrhoids.

To determine whether it is indeed a hemorrhoid or a polyp, a thorough examination by a healthcare provider is necessary. They may perform a physical examination and possibly recommend a colonoscopy or sigmoidoscopy if there are concerns about polyps or other conditions. These procedures allow the doctor to visualize the inside of your rectum and colon, helping to identify any abnormalities.

As for treatment, if it is confirmed to be hemorrhoids, there are several options available. Conservative treatments include dietary changes to increase fiber intake, which can help soften stools and reduce straining during bowel movements. Over-the-counter topical treatments, such as creams or ointments, can also provide relief from itching and discomfort. In more severe cases, procedures such as rubber band ligation, sclerotherapy, or surgical removal may be necessary.

If it turns out to be a polyp, the standard procedure is to remove it during a colonoscopy, especially if it is large or has concerning features. Regular screenings for polyps are recommended, particularly for individuals over the age of 50 or those with a family history of colorectal cancer.

In summary, while your symptoms may suggest hemorrhoids, it is crucial to have a healthcare professional evaluate the growth you discovered. They can provide a definitive diagnosis and recommend appropriate treatment options. It's always better to err on the side of caution when it comes to changes in your body, especially in the context of gastrointestinal health. Don't hesitate to reach out to your doctor for further assessment and peace of mind.

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