Rectal Growths: Symptoms, Causes, and When to Seek Help - Surgery

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When it comes to rectal growths, such as polyps or hemorrhoids, it is essential to understand the symptoms, causes, and when to seek medical help. Based on your description of finding a lump near the anus that can be pushed back in and occasionally bleeds, it is crucial to consider a few possibilities.


Symptoms and Causes
1. Hemorrhoids: These are swollen veins in the lower rectum or anus. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms include:
- A lump near the anus, which may be painful or itchy.

- Bleeding during bowel movements, which can appear as bright red blood on toilet paper or in the toilet bowl.

- Discomfort or pain, especially when sitting.

2. Rectal Polyps: These are growths on the lining of the rectum or colon. While many polyps are benign, some can develop into cancer over time. Symptoms may include:
- Rectal bleeding.

- Changes in bowel habits, such as diarrhea or constipation.

- A feeling of fullness in the rectum.

3. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. Symptoms include:
- Sharp pain during bowel movements.

- Bleeding, usually bright red.

4. Other Growths: Other conditions, such as warts or tumors, can also present as lumps near the anus. These may require further evaluation.


When to Seek Help
It is advisable to seek medical attention if you experience any of the following:
- Persistent bleeding from the rectum.

- A lump that does not go away or keeps returning.

- Severe pain or discomfort.

- Changes in bowel habits that last more than a few days.

- Any new symptoms that concern you.


Diagnosis and Treatment
A healthcare provider will typically perform a physical examination, which may include a digital rectal exam or an anoscopy to visualize the rectum and anus. Depending on the findings, further tests such as a colonoscopy may be recommended to rule out more serious conditions.

Treatment options may include:
- For Hemorrhoids: Lifestyle changes (increased fiber intake, hydration), topical treatments, or procedures like rubber band ligation or surgical removal in severe cases.

- For Rectal Polyps: Polyps are often removed during a colonoscopy, and further monitoring may be necessary to check for recurrence.

- For Anal Fissures: Treatment may include topical anesthetics, stool softeners, and in some cases, surgery if conservative measures fail.


Conclusion
Given your symptoms, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. While conditions like hemorrhoids are common and often manageable, any rectal growth or bleeding should be evaluated to rule out more serious issues. Early intervention can lead to better outcomes and peace of mind. Don't hesitate to reach out to a doctor, as they can provide the necessary guidance and treatment options tailored to your specific situation.