Is It Hemorrhoids or Folliculitis? Your Symptoms - Surgery

Share to:

Could it be hemorrhoids?


Recently, I noticed a small growth near the upper part of my anus.
It doesn't hurt or cause discomfort when I'm sitting or standing, but it does hurt when I use the restroom or wipe with toilet paper, and sometimes it bleeds a little when I wipe.
I'm not sure if I have hemorrhoids or something like folliculitis...
I tend to sweat a lot, and I often get eczema on my buttocks.
Should I go to the pharmacy to buy a hemorrhoid cream to apply?

Xiao Ke, 20~29 year old female. Ask Date: 2009/06/20

Dr. Hou Yongji reply Surgery


In addition to taking a medical history, the diagnosis of anal diseases includes visual inspection, palpation, and endoscopic examinations (such as anoscopy, sigmoidoscopy, or even colonoscopy).
Therefore, please seek a nearby colorectal specialist for diagnosis and treatment as soon as possible.
Thank you.

Reply Date: 2009/06/20

More Info


When it comes to distinguishing between hemorrhoids and folliculitis, it's essential to understand the characteristics of each condition and the symptoms you are experiencing. Hemorrhoids are swollen veins in the lower rectum and anus, which can cause discomfort, pain, and bleeding, especially during bowel movements. They can be internal or external, with external hemorrhoids often presenting as a painful lump near the anus. On the other hand, folliculitis is an inflammation of the hair follicles, which can occur anywhere on the body, including the anal area. It may cause red bumps, itching, and sometimes pus-filled blisters.

Based on your description of a small, painful lump near the anus that bleeds when you wipe, it is possible that you are experiencing external hemorrhoids. The pain during bowel movements and the presence of blood are classic signs of this condition. However, the fact that you also mention sweating and having eczema (湿疹) in the area could suggest that you might be dealing with a combination of issues, including irritation from moisture and friction, which could lead to folliculitis.

It is important to note that while over-the-counter hemorrhoid creams can provide temporary relief for hemorrhoids, they may not address the underlying issue if you are dealing with folliculitis or another skin condition. If the lump is indeed a hemorrhoid, topical treatments can help reduce inflammation and discomfort. However, if it is folliculitis, you may need a different approach, such as topical antibiotics or antifungal creams, depending on the cause.

Given your symptoms and the potential for bleeding, it is advisable to consult a healthcare professional for an accurate diagnosis. They can perform a physical examination and may recommend further tests if necessary. Self-diagnosing and treating without professional guidance can lead to complications or mismanagement of the condition.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Maintain Hygiene: Keep the anal area clean and dry. After bowel movements, gently clean the area with mild soap and water, and pat dry with a soft towel.

2. Avoid Irritants: If you have eczema, avoid using harsh soaps or products that may irritate the skin. Opt for fragrance-free and hypoallergenic options.

3. Warm Sitz Baths: Taking warm sitz baths can help soothe discomfort associated with hemorrhoids and promote healing.

4. Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation, which can exacerbate hemorrhoids. Staying hydrated is also crucial.

5. Over-the-Counter Treatments: If you suspect hemorrhoids, you may consider using over-the-counter creams or ointments designed for hemorrhoid relief. However, if you notice no improvement or if symptoms worsen, seek medical advice.

6. Avoid Straining: When using the restroom, avoid straining, as this can worsen hemorrhoids.

7. Consult a Doctor: If the lump persists, worsens, or if you experience significant pain or bleeding, it is essential to see a healthcare provider for a thorough evaluation.

In conclusion, while it may be tempting to self-treat with over-the-counter products, the best course of action is to seek medical advice to ensure you receive the appropriate treatment for your specific condition.

Similar Q&A

Understanding Red Swelling Near the Anus: Fistula or Folliculitis?

Hello, Doctor. On August 8, while bathing and cleaning my anal area, I noticed a small swollen area on the adjacent skin (which I hadn't noticed before). It feels itchy, and while sitting normally is fine, any significant movement causes slight pain. Since I have a history o...


Dr. Zhang Shuhao reply Surgery
Folliculitis is caused by inflammation of the hair follicles and sebaceous glands in the dermis; anal fistulas originate from the anal glands, which may connect to the rectum or the internal anal canal. Most cases can be diagnosed through detailed palpation and anoscopy. If it is...

[Read More] Understanding Red Swelling Near the Anus: Fistula or Folliculitis?


Understanding Folliculitis Near the Anus: Symptoms and Treatment

Hello: In the past two days, I have developed two bumps near the anal area, approximately 1.5 cm in size (at the 5 o'clock and 11 o'clock positions). One is about 1 x 0.5 cm, while the other appears to be a raised area resembling folliculitis. Both bumps only hurt if I ...


Dr. Zhang Shuhao reply Surgery
An anal abscess or fistula is caused by inflammation of the anal glands, while folliculitis originates from inflammation of the dermis. Your condition is more consistent with folliculitis caused by friction and heat. A colorectal surgeon can differentiate this through physical ex...

[Read More] Understanding Folliculitis Near the Anus: Symptoms and Treatment


Understanding Anal Bumps: Fistulas vs. Folliculitis Explained

Hello, a few days ago, I developed a bump near the anus, around the 7 o'clock position, resembling a mosquito bite. I usually don't feel anything, but it hurts when I press on it. I haven't experienced any other discomfort or discharge. By the third day, the bump d...


Dr. Ke Fangxu reply Surgery
At the age of 21, superficial skin infections are more common, and the likelihood of an anal fistula is lower. If the symptoms do not recur, it is likely not an anal fistula. Generally, individuals cannot make a differential diagnosis on their own. If the symptoms persist for mor...

[Read More] Understanding Anal Bumps: Fistulas vs. Folliculitis Explained


Understanding Hemorrhoids vs. Warts: Symptoms and Treatment Options

I'm not sure how long it's been, but in the last couple of days, I've noticed redness and swelling around the anus, along with some pain and bleeding when wiping. Could this be hemorrhoids or genital warts? Should I see a dermatologist, or is there something I can ...


Dr. Wu Yuxin reply Dermatology
Please seek medical attention from a colorectal surgeon.

[Read More] Understanding Hemorrhoids vs. Warts: Symptoms and Treatment Options


Related FAQ