Painful Pimples Around the Anus: When to Seek Medical Help - Surgery

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Pimples around the anus?


Hello, doctor: I have discovered a bump around my anus, approximately the size of a red bean.
It is painful when pressed and slightly itchy.
Do I need to go to the hospital for an examination, or should I wait for it to heal on its own? If I need to go to the hospital, which department should I see?

A-Jie, 20~29 year old female. Ask Date: 2012/01/01

Dr. Ke Fangxu reply Surgery


An abscess around the anus may be a simple folliculitis or could be related to the opening of the anal canal.
To determine the exact condition, it is best to consult a colorectal surgeon; otherwise, there is a risk of misdiagnosis.
Please seek medical attention promptly to avoid any delay in treatment.

Reply Date: 2012/01/01

More Info


When it comes to painful pimples around the anus, it's important to understand the potential causes and when to seek medical help. The symptoms you describe—pain, itching, and the presence of a red bump—could be indicative of several conditions, including hemorrhoids, folliculitis, or even an abscess.
Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding. They can develop due to increased pressure from straining during bowel movements, pregnancy, or prolonged sitting. Folliculitis, on the other hand, is an infection of the hair follicles that can occur in the anal area, leading to red, painful bumps. An abscess is a collection of pus that can form due to infection and may require drainage.

Given your symptoms, it is advisable to seek medical attention, especially if the bump is painful and does not improve within a few days. While some minor conditions may resolve on their own, others may require treatment to prevent complications.
When you visit a healthcare provider, you should consider seeing a specialist in either dermatology or gastroenterology. Dermatologists can evaluate skin-related issues, including infections and inflammatory conditions, while gastroenterologists specialize in disorders of the digestive system, including the anal region.
During your appointment, the doctor will likely perform a physical examination and may ask about your symptoms, medical history, and any recent changes in your bowel habits. Depending on the findings, they may recommend treatments such as topical medications, antibiotics, or procedures to drain an abscess if necessary.

In the meantime, you can take some steps to alleviate discomfort. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. Warm sitz baths may also provide relief by soothing the area and reducing inflammation. It's important to maintain good hygiene and avoid any irritants, such as harsh soaps or scented products, which could exacerbate the condition.

In summary, while some anal bumps may resolve on their own, your symptoms warrant a medical evaluation. Seeking help from a dermatologist or gastroenterologist will ensure that you receive an accurate diagnosis and appropriate treatment. Don't hesitate to reach out for medical assistance, as early intervention can lead to better outcomes and relief from discomfort.

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