Growths Near the Anus: Is It External Hemorrhoids? - Surgery

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There is a lump next to the anus?


Hello, doctor: I previously had hemorrhoids that were surgically removed, but now there is something growing next to the anus that enlarges when I squat and is pink in color, but shrinks when I stand up.
Is this an external hemorrhoid? Thank you.

huanzhe, 30~39 year old female. Ask Date: 2012/12/16

Dr. Ke Fangxu reply Surgery


The most likely possibility is hemorrhoids, but it could also be rectal mucosal prolapse.
If it does not affect daily life and there is no bleeding, treatment may not be necessary.
However, it is still advisable to consult a physician for a definitive diagnosis to ensure peace of mind.

Reply Date: 2012/12/16

More Info


When it comes to growths near the anus, particularly after a history of hemorrhoids, it's important to understand the various possibilities and their implications. Based on your description, it sounds like you might be dealing with an external hemorrhoid, but there are other conditions that could also present similarly.

External hemorrhoids are swollen veins located around the anus. They can become engorged with blood, especially during activities that put pressure on the area, such as straining during bowel movements or sitting for prolonged periods. The fact that the growth appears to change size—becoming larger when squatting and smaller when standing—could indeed suggest that it is an external hemorrhoid. These growths are typically soft, can be painful, and may cause discomfort, especially when sitting or during bowel movements.

However, it’s crucial to consider other potential causes for the growth you are observing. Conditions such as skin tags, anal warts (which are caused by the human papillomavirus), or even more serious issues like anal fissures or tumors could also present as growths near the anus. Skin tags are often benign and can occur after the resolution of hemorrhoids, while anal warts are usually associated with sexually transmitted infections.

Given your history of hemorrhoids and the current symptoms, it is advisable to consult a healthcare professional for an accurate diagnosis. A thorough examination, possibly including a visual inspection and a digital rectal exam, can help determine the nature of the growth. In some cases, additional imaging or a biopsy may be necessary to rule out more serious conditions.

If it is indeed an external hemorrhoid, treatment options may include lifestyle modifications, such as increasing fiber intake to ease bowel movements, warm sitz baths to relieve discomfort, and over-the-counter topical treatments to reduce swelling and pain. In cases where hemorrhoids are recurrent or particularly bothersome, surgical options may be considered, such as hemorrhoidectomy or rubber band ligation.

In summary, while your symptoms may suggest an external hemorrhoid, it is essential to seek medical evaluation to confirm the diagnosis and rule out other potential issues. Early intervention can help manage symptoms effectively and prevent complications. Always prioritize your health and don’t hesitate to reach out to a healthcare provider for any concerns regarding changes in your body.

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