External Anal Bumps: Causes and Concerns - Surgery

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Anal issues


Hello Dr.
Ke: A few months ago, I noticed some slight protrusions around the external anal area (similar to small bumps).
In June, I began to observe a slight increase in these bumps, but they are not particularly itchy or painful.
What could this condition be? (I have no history of sexual activity or hemorrhoids.) Thank you for your assistance.

Ms. S, 20~29 year old female. Ask Date: 2015/07/14

Dr. Huang Zhihui reply Surgery


It is recommended to seek medical attention as soon as possible; without observing the lesion, a diagnosis cannot be made.

Reply Date: 2015/07/14

More Info


Hello! Thank you for reaching out with your concerns regarding the external anal bumps you've noticed. It's understandable to feel anxious about any changes in your body, especially in sensitive areas. Let's explore the potential causes and considerations regarding these bumps.

The presence of external anal bumps can be attributed to several conditions, and while many of them are benign, it's essential to understand the possibilities. Here are some common causes:
1. Skin Tags: These are small, benign growths that can appear around the anal area. They are usually painless and may not cause any discomfort. Skin tags can develop due to friction or irritation.

2. Hemorrhoids: Although you mentioned no history of hemorrhoids, it's worth noting that external hemorrhoids can appear as lumps around the anus. They can be itchy or painful, especially during bowel movements, but they can also be asymptomatic.

3. Anal Warts: Caused by the human papillomavirus (HPV), anal warts can appear as small bumps. They may not be painful or itchy, but they can vary in size and number. It's important to note that HPV is a sexually transmitted infection, but it can also be transmitted through skin-to-skin contact.

4. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. It can lead to small, red bumps that may be itchy or tender.

5. Cysts: Sebaceous cysts can develop in the anal area, leading to small, painless lumps. These cysts are usually harmless but can become infected.

6. Fungal or Bacterial Infections: Sometimes, infections can cause bumps or rashes in the anal area. These may be accompanied by other symptoms like itching or discomfort.

7. Other Skin Conditions: Conditions such as psoriasis or eczema can also lead to bumps or rashes around the anus.

Given that you have noticed an increase in the number of bumps since June, it would be prudent to consult a healthcare professional for a thorough examination. They can provide a definitive diagnosis based on a physical examination and, if necessary, additional tests.
While the bumps may not be causing you pain or discomfort, any changes in your body should be evaluated, especially if they are increasing in number or size. Early diagnosis can help in managing any potential issues effectively.
In the meantime, here are some general recommendations:
- Avoid Irritation: Keep the area clean and dry. Avoid using harsh soaps or products that may irritate the skin.

- Monitor Changes: Keep track of any changes in size, color, or symptoms associated with the bumps.

- Avoid Self-Diagnosis: While researching symptoms online can be helpful, it can also lead to unnecessary worry. A healthcare provider can give you accurate information tailored to your situation.

In conclusion, while there are several benign explanations for the bumps you've noticed, it's essential to seek medical advice for a proper evaluation. This will not only provide peace of mind but also ensure that any necessary treatment can be initiated promptly. Thank you for your question, and I wish you the best in your health journey!

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