Soft Growths Near the Anus: Hemorrhoids or Rectal Tumors? - Surgery

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It only occurs when straining during bowel movements?


I recently noticed a soft, fleshy lump near my anus that appears after using the bathroom, but it doesn't come out if I haven't gone.
It doesn't hurt when I press on it, and there is no bleeding.
However, since I discovered its presence, I feel like I can't fully empty my bowels every time I use the restroom.
Could this be a symptom of hemorrhoids or rectal tumors? Do I need further examination or treatment?

LIFESTYLE, 20~29 year old female. Ask Date: 2016/01/21

Dr. Cai Xingzhi reply Surgery


Based on your description, it seems more like hemorrhoids.
I recommend consulting a surgical outpatient clinic for further evaluation and examination.

Reply Date: 2016/01/21

More Info


When it comes to soft growths near the anus, distinguishing between hemorrhoids and rectal tumors is crucial for appropriate management and treatment. Based on your description, it sounds like you may be experiencing a hemorrhoid, particularly if the growth is soft, non-painful, and does not bleed. However, it is essential to consider a few key points to better understand your situation.


Hemorrhoids vs. Rectal Tumors
Hemorrhoids are swollen veins in the lower rectum or anus, similar to varicose veins. They can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually do not cause pain, while external hemorrhoids are located under the skin around the anus and can be painful, especially when thrombosed (clotted). Symptoms of hemorrhoids can include:
- Soft lumps near the anus
- Discomfort or itching in the anal area
- Bleeding during bowel movements (though you mentioned no bleeding)
- A feeling of fullness or pressure in the rectal area
On the other hand, rectal tumors can be benign (like polyps) or malignant (cancerous). Symptoms of rectal tumors may include:
- A change in bowel habits (diarrhea or constipation)
- Blood in the stool
- Unexplained weight loss
- Persistent abdominal pain or discomfort
- A lump or mass in the rectal area

Your Symptoms
Given that you describe the growth as soft, non-painful, and without bleeding, it leans more towards being a hemorrhoid, especially if it appears during bowel movements and retracts afterward. The sensation of incomplete evacuation you mentioned could be related to the presence of the hemorrhoid, which can create a feeling of fullness or pressure.


Recommendations
1. Self-Care Measures: If it is indeed a hemorrhoid, you can try some self-care measures:
- Increase fiber intake to soften stools and reduce straining during bowel movements.

- Stay hydrated by drinking plenty of water.

- Use over-the-counter topical treatments to relieve discomfort.

- Warm sitz baths can also help soothe the area.

2. Monitoring Symptoms: Keep an eye on your symptoms. If the growth changes in size, becomes painful, or if you start experiencing bleeding, it is essential to seek medical attention.

3. Consult a Healthcare Provider: Given your concerns and the presence of the growth, it would be wise to consult a healthcare provider for a thorough evaluation. They may perform a physical examination and possibly recommend further tests, such as a colonoscopy, to rule out any serious conditions, including rectal tumors.

4. Psychological Factors: It’s also worth noting that anxiety about the growth can contribute to the sensation of incomplete evacuation. Discussing your concerns with a healthcare professional can help alleviate some of this anxiety.


Conclusion
While your symptoms suggest that you may be dealing with hemorrhoids, it is crucial to have a healthcare professional evaluate your condition to rule out any serious issues. Early diagnosis and treatment can significantly improve your quality of life and prevent potential complications. Don't hesitate to seek medical advice, as it is always better to be cautious when it comes to health concerns.

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