Anal mass
Hello, doctor.
I am currently a high school sophomore.
There is a soft lump near my vaginal opening that usually doesn't cause much trouble; it doesn't hurt or itch.
However, this month when my period came, it seemed to swell up, and it hurts a lot when I sit or stand, and I feel very uncomfortable while sleeping.
This hasn't happened before during my periods, and I'm not sure what the problem is.
Should I consider surgery, buy an ointment, or see a doctor? I feel quite embarrassed about visiting a doctor.
Ms. Chen, 10~19 year old female. Ask Date: 2012/07/09
Dr. Ke Fangxu reply Surgery
To establish a diagnosis, it is advisable to see a physician to avoid any delays in your condition.
Reply Date: 2012/07/09
More Info
Understanding soft lumps near the anus can be concerning, especially when they change in size or cause discomfort during certain times, such as menstruation. Based on your description, it sounds like you may be experiencing a condition that could be related to several potential issues, including hemorrhoids, cysts, or other benign growths. Here’s a breakdown of what you might be dealing with and when to seek medical help.
Possible Causes of Soft Lumps Near the Anus
1. Hemorrhoids: These are swollen veins in the lower rectum and anus that can become inflamed, especially during menstruation due to hormonal changes and increased blood flow. Symptoms may include pain, discomfort, and sometimes bleeding.
2. Anal Abscess or Fistula: An abscess is a collection of pus that can form near the anus, often due to infection. A fistula is a small tunnel that can develop between the anal canal and the skin. Both conditions can cause pain and discomfort, particularly when sitting or during bowel movements.
3. Cysts: These are fluid-filled sacs that can develop in various parts of the body, including near the anus. They are usually benign but can become painful if they become inflamed or infected.
4. Skin Tags: These are small, benign growths that can occur around the anus. They are usually painless but can become irritated.
When to Seek Medical Help
Given that you are experiencing increased pain and discomfort during your menstrual cycle, it is advisable to seek medical attention. Here are some specific situations where you should definitely consult a healthcare provider:
- Increased Pain: If the lump becomes increasingly painful, especially if it interferes with your daily activities or sleep.
- Changes in Size: If the lump grows significantly larger or changes in texture.
- Bleeding: If you notice any bleeding from the lump or during bowel movements.
- Fever or Signs of Infection: If you develop a fever or notice redness and swelling around the area, which could indicate an infection.
- Persistent Symptoms: If the symptoms persist for more than a few days or worsen over time.
What to Expect at the Doctor's Office
While it may feel embarrassing to discuss issues related to the anus, healthcare professionals are trained to handle such matters with sensitivity and confidentiality. During your visit, the doctor will likely:
- Take a Medical History: They will ask about your symptoms, duration, and any other relevant health information.
- Conduct a Physical Examination: This may involve a visual inspection and possibly a digital rectal exam to assess the lump.
- Recommend Tests: If necessary, they may suggest imaging tests or lab work to determine the cause of the lump.
Treatment Options
Depending on the diagnosis, treatment options may vary:
- For Hemorrhoids: Over-the-counter creams, lifestyle changes (like increased fiber intake), and in some cases, procedures to remove them.
- For Abscesses: Drainage may be necessary, and antibiotics may be prescribed.
- For Cysts: If they are not causing significant issues, they may simply be monitored. If they become problematic, surgical removal might be recommended.
- For Skin Tags: These can be removed if they are bothersome.
Conclusion
While it’s understandable to feel shy about discussing such personal issues, seeking medical help is important for your health and peace of mind. It’s better to address any concerns early on rather than wait for symptoms to worsen. Remember, healthcare providers are there to help you, and they will approach your situation with professionalism and care. Don’t hesitate to make an appointment to discuss your symptoms and get the appropriate treatment.
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