Anal Growths: Hemorrhoids or Warts? - Surgery

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Hemorrhoids? Warts?


Doctor, I noticed a small lump at the anal area (perineum) about a week ago.
It feels hard to the touch and is approximately the size of a red bean, with a color similar to my skin tone.
Sometimes it feels like it is hidden beneath the skin and not very noticeable, while other times, when I intentionally touch it, it feels quite bothersome.
I had a health check-up at the end of last year, and the report indicated that I have [mixed hemorrhoids], but I have not experienced any of the typical discomfort associated with hemorrhoids.
Occasionally, if my stool is harder, I feel some discomfort at the anal area.
When I wipe after a bowel movement, there is a slight trace of blood on the toilet paper, but there is no significant discomfort.
My current concern is whether that small lump is a hemorrhoid.
Can hemorrhoids appear externally? Or could it be an early sign of [condyloma]? Do I need to see a doctor immediately, or should I observe it for a while longer? Please help me with this...
Thank you.

worry, 30~39 year old female. Ask Date: 2006/07/22

Dr. Hou Yongji reply Surgery


Based on your description, it is most similar to hemorrhoids.
However, in the diagnosis of colorectal surgery, in addition to the medical history, visual inspection and digital examination are necessary, and further procedures such as anoscopy, sigmoidoscopy, or ultrasound may be required.
Please consult a colorectal specialist for diagnosis and treatment.
Attached is a list of colorectal specialists: D:\2F\Taiwan Society of Colon and Rectal Surgeons.htm Dr.
Hou Yong-chi.

Reply Date: 2006/07/22

More Info


When it comes to understanding anal growths, particularly in the context of your description, it is essential to differentiate between hemorrhoids and other potential growths such as warts. Based on your description of a small, firm growth near the anal area, it is understandable to have concerns about its nature and whether it is related to your previous diagnosis of mixed hemorrhoids.

Hemorrhoids are swollen veins in the lower rectum and anus, which can be classified as either internal or external. Internal hemorrhoids are located inside the rectum and typically do not cause pain, while external hemorrhoids are found under the skin around the anus and can become painful, especially if a blood clot forms. The fact that you have previously been diagnosed with mixed hemorrhoids suggests that you may have both internal and external hemorrhoids. However, external hemorrhoids usually present as soft, bulging masses that may be painful or itchy, especially during bowel movements.

On the other hand, the growth you described as being firm and resembling a small lump could potentially be a skin tag, which is a benign growth that can occur after the resolution of hemorrhoids. Skin tags are generally harmless and do not require treatment unless they become bothersome. However, if the growth appears more like a wart, it could be a sign of a viral infection, such as human papillomavirus (HPV), which can lead to genital warts. Genital warts can appear as small, flesh-colored or gray growths and may cluster together, resembling a cauliflower.

Given your history of mixed hemorrhoids and the current presence of this growth, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination to determine the nature of the growth. They may also inquire about any changes in bowel habits, pain, bleeding, or other symptoms that could provide further context.
In terms of urgency, while it is not uncommon for benign conditions to arise in the anal area, it is always best to err on the side of caution. If the growth changes in size, color, or shape, or if you experience increased discomfort or bleeding, you should seek medical attention promptly.
In summary, while the growth you are experiencing could be related to your previous hemorrhoid diagnosis, it is essential to have it evaluated by a healthcare professional to rule out other conditions, including warts or other types of lesions. Early diagnosis and appropriate management can help alleviate any concerns and ensure that you receive the necessary care.

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