Painful Bumps Near the Anus: Causes and Solutions - Surgery

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Buttock concerns?


I would like to ask about some pain I experienced in my buttocks recently.
I didn't pay much attention to it, but later I noticed a bump near my anus that feels similar to a pimple.
What could this be? It hurts a little when I press on it.

D, 20~29 year old female. Ask Date: 2016/02/19

Dr. Xu Kaixi reply Surgery


Based on your description, the painful lump near the anus could be a thrombosed external hemorrhoid or folliculitis.
It is recommended to visit a surgical outpatient clinic for further evaluation.

Reply Date: 2016/02/19

More Info


When it comes to painful bumps near the anus, there are several potential causes that one should consider. The symptoms you describe—pain and the presence of a bump that feels like a small pimple—could be indicative of a few different conditions. Here are some of the most common causes:
1. Hemorrhoids: One of the most frequent causes of bumps near the anus is hemorrhoids, which are swollen veins in the lower rectum or anus. They can be internal or external. External hemorrhoids can cause pain, discomfort, and itching, especially when sitting or during bowel movements. They may also appear as lumps around the anal area.

2. Anal Abscess: An anal abscess is a painful condition that occurs when a cavity filled with pus forms near the anus. This can happen due to an infection in the anal glands. Symptoms often include swelling, redness, and pain in the area, and it may feel warm to the touch. If left untreated, an abscess can lead to more serious complications.

3. Fistula: An anal fistula is a small tunnel that can develop between the end of the bowel and the skin near the anus. It often occurs as a result of an abscess. Symptoms may include pain, swelling, and drainage of pus or blood from the bump.

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

5. Warts: Genital warts, caused by the human papillomavirus (HPV), can also appear near the anus. They may feel like small bumps and can be itchy or uncomfortable.

6. Folliculitis: This is an infection of the hair follicles that can occur anywhere on the body, including the anal area. It can cause small, painful bumps that may resemble pimples.

7. Other Skin Conditions: Conditions such as psoriasis or eczema can also cause bumps and irritation around the anal area.

Given your symptoms, it is essential to consult a healthcare professional for an accurate diagnosis. A doctor will likely perform a physical examination and may ask about your medical history and any other symptoms you may be experiencing. Depending on the findings, they may recommend treatments ranging from topical medications to surgical interventions, especially if an abscess or fistula is present.

In the meantime, here are some general tips for managing discomfort:
- Warm Baths: Soaking in a warm bath can help relieve pain and reduce swelling.

- Over-the-Counter Pain Relief: Medications like acetaminophen or ibuprofen can help alleviate pain.

- Avoid Straining: If you are experiencing discomfort during bowel movements, try to avoid straining, as this can exacerbate the issue.

- Maintain Hygiene: Keeping the area clean and dry can help prevent infections and further irritation.

In conclusion, while there are several potential causes for the painful bump near your anus, it is crucial to seek medical advice for a proper diagnosis and treatment plan. Ignoring the symptoms may lead to complications, especially if the bump is due to an abscess or other serious condition. Your health is important, and addressing these symptoms promptly will help ensure a better outcome.

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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 appl...


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.

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Hello, doctor. Two days ago, I noticed a bump on the right side of my buttocks around the anal area. It's about 1.5 centimeters in size, slightly red in color, feels hard to the touch, and is somewhat painful. The symptoms have not changed since then. I would like to know wh...


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