Uncomfortable Growths Near the Anus: What You Need to Know - Surgery

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I have a growth inside my anus?


Hello Doctor: I would like to ask you a question.
For the past few days, I've been feeling something unusual around my anus.
It feels uncomfortable when I sit down or when I perform Kegel exercises (but it doesn't hurt), just a strange sensation.
Today, while I was showering, I decided to check it out.
I initially thought it might be a tear in the skin around the anus, but it wasn't.
However, the strange feeling persisted.
Later, I inserted my index finger into my anus and discovered a lump about the size of half my fingertip just inside the anal opening.
It feels like it is not on the skin but rather within the tissue, and when I press on it with my finger (it feels somewhat hard), I experience some pain.
Could you please tell me what this might be? Is it hemorrhoids? I usually pay close attention to hygiene.
How could this happen? Do I need surgery? Will it continue to grow larger?

SING, 20~29 year old female. Ask Date: 2008/04/14

Dr. Hou Yongji reply Surgery


Based on your description, a definitive diagnosis cannot be made.
The diagnosis of anal diseases, in addition to visual examination, medical history, and digital examination, may sometimes require anoscopy or even endoscopy.
Therefore, it is recommended to consult a nearby colorectal specialist for diagnosis and treatment.
Thank you.
(Attached is the list of colorectal specialists) Dr.
Hung-Yung Chi.

Reply Date: 2008/04/14

More Info


Understanding uncomfortable growths near the anus can be concerning, and it’s important to approach this issue with care and awareness. Based on your description, it sounds like you may be experiencing a condition that could be related to hemorrhoids, anal warts, or possibly a perianal abscess. However, without a physical examination, it is difficult to provide a definitive diagnosis.


Potential Causes of Growths Near the Anus
1. Hemorrhoids: These are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding. They can be internal (inside the rectum) or external (under the skin around the anus). The hardness you feel could be a thrombosed hemorrhoid, which occurs when a blood clot forms in an external hemorrhoid.

2. Anal Warts: Caused by the human papillomavirus (HPV), anal warts can appear as small growths or lumps near the anus. They are usually painless but can cause discomfort depending on their size and location.

3. Perianal Abscess: This is a collection of pus that forms near the anus, often due to an infection. It can cause swelling, pain, and discomfort, especially when sitting or during bowel movements.

4. Fistula: An anal fistula is a small tunnel that forms between the end of the bowel and the skin near the anus. It can develop after an abscess and may cause discomfort and drainage.

5. Other Conditions: There are other less common conditions that could cause growths or lumps near the anus, including skin tags, cysts, or even more serious conditions like anal cancer.


When to Seek Medical Attention
Given that you are experiencing discomfort and have identified a growth, it is advisable to seek medical attention. A healthcare professional can perform a thorough examination, which may include a physical exam and possibly imaging studies, to determine the exact nature of the growth. Here are some signs that you should definitely seek medical help:
- Persistent pain or discomfort
- Bleeding from the anus
- Changes in bowel habits
- Growth that continues to increase in size
- Any new or unusual symptoms

Treatment Options
The treatment will depend on the diagnosis. For example:
- Hemorrhoids: Treatment can range from lifestyle changes (increased fiber intake, hydration) to over-the-counter medications, and in some cases, surgical procedures may be necessary for severe cases.


- Anal Warts: These can be treated with topical medications, cryotherapy, or surgical removal, depending on their size and number.

- Abscess: This usually requires drainage by a healthcare professional, and antibiotics may be prescribed.

- Fistula: Surgical intervention is often required to treat an anal fistula.


Prevention and Care
To prevent future issues, consider the following:
- Maintain a high-fiber diet to promote regular bowel movements and reduce straining.

- Stay hydrated.

- Practice good hygiene, especially after bowel movements.

- Avoid prolonged sitting on the toilet.

- Engage in regular physical activity.


Conclusion
While it can be uncomfortable to discuss issues related to the anus, it is crucial to address any growths or changes in your body with a healthcare provider. Early diagnosis and treatment can prevent complications and improve your quality of life. Don’t hesitate to reach out for help; your health is important, and there are professionals who can assist you in managing these concerns effectively.

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