Painful Bumps Near the Anus: What to Do Next - Surgery

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There are pimple-like bumps around the anus?


Hello, I would like to ask about some discomfort I am experiencing.
Today, I noticed some pain around my anus and felt a lump that is painful.
At first, I didn't think much of it and assumed it was just a pimple that I had accidentally popped.
After cleaning the area, I applied some medication, but later I realized that the lump seems to be located closer to the inside of the anus.
The pain is still present.
Should I take any immediate measures? I've been quite busy lately, so it might take some time before I can see a doctor.

Angkeya, 10~19 year old female. Ask Date: 2015/08/21

Dr. Xu Kaixi reply Surgery


Based on your description, the painful lump near the anus could be folliculitis or a thrombosed hemorrhoid.
You may apply a topical ointment locally, but if there is no improvement, it is advisable to consult a surgical outpatient clinic for examination.

Reply Date: 2015/08/21

More Info


When experiencing painful bumps near the anus, it is essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, it sounds like you may be dealing with a few possibilities, including hemorrhoids, anal fissures, or even an abscess. Here’s a detailed breakdown of what you might be experiencing and what steps you can take.


Understanding the Symptoms
1. Hemorrhoids: These are swollen veins in the lower rectum and anus that can cause discomfort, pain, and sometimes bleeding. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms often include a painful lump near the anus, itching, and sometimes bleeding during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain during and after bowel movements, and you may notice a small bump or lump near the fissure.

3. Abscess: An anal abscess is a painful condition that occurs when a cavity filled with pus forms near the anus. This can be due to an infection and may require medical intervention. Symptoms include severe pain, swelling, and sometimes fever.


Immediate Measures
While it’s understandable that you may be busy and unable to see a doctor immediately, there are several self-care measures you can take to alleviate discomfort and manage your symptoms:
1. Warm Sitz Baths: Soaking in warm water for about 10-15 minutes several times a day can help reduce pain and swelling. This is particularly effective for hemorrhoids and anal fissures.

2. Over-the-Counter Pain Relief: Non-prescription pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Be sure to follow the recommended dosages.

3. Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can provide relief. Look for products containing hydrocortisone or witch hazel.

4. Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation and make bowel movements easier. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated is also crucial.

5. Avoid Straining: When using the bathroom, try not to strain, as this can exacerbate the condition. If you feel the urge to go, do so promptly rather than waiting.


When to Seek Medical Attention
While self-care measures can be effective, it is crucial to seek medical attention if:
- The pain persists or worsens.

- You notice significant bleeding or discharge.

- You develop a fever or experience chills, which could indicate an infection.

- The lump becomes increasingly painful or swollen.


Conclusion
In summary, while you may be able to manage mild symptoms with self-care, it is essential to monitor your condition closely. If symptoms persist or worsen, please prioritize seeing a healthcare professional. They can provide a proper diagnosis and treatment plan tailored to your specific situation. Ignoring the symptoms could lead to complications, especially if it is an abscess or severe hemorrhoids. Your health is important, so make sure to take the necessary steps to address this issue.

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