Skin Bumps Near the Anus: Possible Causes and Concerns - Surgery

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Pimple outside the anus?


Hello, doctor.
Today, I accidentally found a bump that looks like a pimple about 3 cm to the left of the anus in a skin fold.
When I squeezed it, it broke the skin and bled, but it doesn't hurt much.
When I press around the bump, it doesn't feel like there's a hard channel connecting to the anus.
I would like to know if this could be an anal fistula?

Jie, 30~39 year old female. Ask Date: 2015/12/25

Dr. Ke Fangxu reply Surgery


If there is no hard tubular structure felt, it is likely not an anal fistula, and the possibility of perianal folliculitis is higher.
However, if it does not heal within a week, it is best to consult a professional physician for a more thorough evaluation.

Reply Date: 2015/12/25

More Info


When it comes to skin bumps near the anus, there are several potential causes that could explain your symptoms. Given the location and description of the bump, it is important to consider various possibilities, including but not limited to hemorrhoids, skin tags, folliculitis, or even an abscess.

1. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause discomfort, itching, and sometimes bleeding. They can appear as small lumps or bumps and may be painful, especially when sitting or during bowel movements. If the bump you described is soft and can be pushed, it might be a hemorrhoid.

2. Skin Tags: These are benign growths that can occur in various areas of the body, including near the anus. They are usually painless and can be skin-colored or slightly darker. Skin tags are often caused by friction or irritation and can be removed if they become bothersome.

3. Folliculitis: This is an infection of the hair follicles that can occur anywhere on the body, including the anal area. It can present as small red bumps or pus-filled blisters and may be itchy or painful. If the bump you described was inflamed and you noticed pus, this could be a possibility.

4. Abscess: An abscess is a collection of pus that can form due to infection. If the bump was painful, swollen, and warm to the touch, it could indicate an abscess. These often require medical treatment, including drainage and antibiotics.

5. Anal Fissures: While not exactly a bump, fissures can occur in the anal area and may cause bleeding and discomfort. They are usually associated with painful bowel movements.

6. Fistula: An anal fistula is an abnormal connection between the anal canal and the skin. This can occur after an abscess has drained and may lead to recurrent infections. Symptoms can include pain, swelling, and discharge.

Given that you mentioned the bump bled when you squeezed it, this could indicate that it was either an abscess or a ruptured follicle. However, without a proper examination, it is difficult to provide a definitive diagnosis.


Recommendations:
- Avoid Squeezing: It is advisable not to squeeze or pop any bumps in this area, as this can lead to infection or further irritation.

- Keep the Area Clean: Maintain good hygiene in the anal area to prevent infections. Use mild soap and water, and avoid harsh chemicals or scrubs.

- Warm Compresses: Applying a warm compress can help reduce discomfort and promote drainage if there is an abscess.

- Consult a Healthcare Provider: Given your symptoms and the location of the bump, it is crucial to consult a healthcare provider, preferably a dermatologist or a proctologist. They can perform a physical examination and possibly recommend imaging studies if necessary.


Conclusion:
While some conditions related to bumps near the anus can be benign, others may require medical intervention. It is essential to seek professional advice to ensure proper diagnosis and treatment. Early intervention can prevent complications and provide relief from symptoms.

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