Anal Bumps: Causes, Symptoms, and Treatment Options - Surgery

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The anus?


Two days ago, I noticed a lump next to my anus that feels soft to the touch.
It hurts when I have a bowel movement and also when I wash myself.
Sitting on a chair is a bit painful as well, but there is no bleeding.
Is this a hemorrhoid, or is it similar to the acne on my face that will resolve in a few days?

a123, 10~19 year old female. Ask Date: 2016/01/29

Dr. Li Zhonghuai reply Surgery


Hello! Please visit a general surgery or colorectal surgery department for examination! Descriptive information may lead to misjudgment! Changhua Hospital cares about you!

Reply Date: 2016/01/29

More Info


Anal bumps can be concerning, and it's important to understand their potential causes, symptoms, and treatment options. Based on your description, it sounds like you may be experiencing a condition related to the anal area, which could include hemorrhoids, anal fissures, or possibly an anal abscess or skin tag.

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 often include pain, discomfort, 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 bowel movements and may cause a bump or lump near the anus.

3. Skin Tags: These are small, soft growths of skin that can occur around the anal area. They are usually painless but can become irritated, especially if they rub against clothing or during bowel movements.

4. Anal Abscess: This is a collection of pus that can form near the anus, often due to infection. It can cause significant pain, swelling, and redness in the area.

5. Other Conditions: Less commonly, anal bumps can be caused by sexually transmitted infections, warts, or other dermatological conditions.


Symptoms
From your description, the pain during bowel movements and while sitting suggests that the bump may be causing irritation or discomfort. The absence of bleeding is a positive sign, but it does not rule out the possibility of hemorrhoids or fissures.

Treatment Options
1. Home Care:
- Warm Sitz Baths: Soaking in warm water can help relieve pain and discomfort.

- Over-the-Counter Medications: Pain relievers like ibuprofen or acetaminophen can help manage pain. Topical treatments specifically for hemorrhoids may also provide relief.

- Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements, which can alleviate symptoms.

2. Medical Treatment:
- If symptoms persist or worsen, it is crucial to see a healthcare provider. They may perform a physical examination and possibly recommend treatments such as prescription medications or procedures to remove hemorrhoids or skin tags.

- For fissures, topical anesthetics or medications that promote healing may be prescribed.

3. Surgical Options: In cases of severe hemorrhoids or persistent anal fissures that do not respond to conservative treatment, surgical options may be considered.


When to Seek Medical Attention
You should consult a healthcare provider if:
- The bump does not improve within a few days.

- You experience significant pain or discomfort.

- There are changes in bowel habits or any bleeding occurs.

- You notice any signs of infection, such as increased redness, swelling, or fever.


Conclusion
While it is possible that the bump you are experiencing may resolve on its own, it is essential to monitor your symptoms closely. Given the discomfort you are experiencing, seeking medical advice is recommended to determine the exact cause and appropriate treatment. Early intervention can often prevent complications and lead to a quicker resolution of symptoms.

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