Is It a Hemorrhoid? Painful Bumps Near the Anus - Surgery

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Is it a mole or a wart?


There is a lump on the anus that hurts when pressed, also painful while sitting, and it hurts and feels itchy after having a bowel movement.
What should I do, doctor?

Chen Xiang, 10~19 year old female. Ask Date: 2016/02/29

Dr. Yu Mingchang reply Surgery


Hello: If you have an external mole that is blocked, please consult the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare.
We care about your health.

Reply Date: 2016/02/29

More Info


When experiencing painful bumps near the anus, it is essential to consider several potential causes, with hemorrhoids being one of the most common. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding, particularly during bowel movements. However, other conditions may also present similar symptoms, so it is crucial to understand the full context of your symptoms.


Symptoms of Hemorrhoids
Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually do not cause pain, but they can bleed. External hemorrhoids, on the other hand, are located under the skin around the anus and can be painful, especially when sitting or during bowel movements. Symptoms of external hemorrhoids may include:
- Pain or discomfort around the anus
- Swelling or a lump near the anus
- Itching or irritation in the anal region
- Bleeding during bowel movements

Other Possible Causes
While hemorrhoids are a common cause of painful bumps near the anus, other conditions could also be responsible for your symptoms:
1. Anal Fissures: Small tears in the lining of the anus can cause severe pain, especially during bowel movements. They may also lead to bleeding.

2. Abscesses: An anal abscess is a collection of pus that can cause significant pain and swelling. It may require medical intervention to drain.

3. Skin Tags: These are benign growths that can occur after hemorrhoids have healed. They are usually painless but can become irritated.

4. Fungal Infections: Conditions like yeast infections can cause itching and discomfort in the anal area.

5. Warts or Other Growths: Genital warts or other types of growths can also appear near the anus and may cause pain or discomfort.


Recommendations
Given your symptoms of pain, swelling, and discomfort, it is advisable to seek medical attention. A healthcare provider can perform a physical examination to determine the exact cause of your symptoms. Here are some steps you can take in the meantime:
1. Warm Baths: Soaking in warm water can help relieve pain and discomfort. This practice, known as sitz baths, can be particularly soothing.

2. Over-the-Counter Pain Relief: Medications like acetaminophen or ibuprofen can help manage pain and inflammation.

3. Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements, which can alleviate symptoms associated with hemorrhoids and fissures.

4. Avoid Straining: When using the bathroom, try not to strain or sit for prolonged periods, as this can exacerbate symptoms.

5. Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can provide temporary relief from itching and discomfort.


When to See a Doctor
It is crucial to consult a healthcare professional if:
- The pain persists or worsens.

- You notice significant bleeding.

- You experience fever or other systemic symptoms.

- You have any concerns about the nature of the bump or if it changes in appearance.

In conclusion, while hemorrhoids are a common cause of painful bumps near the anus, other conditions may also be responsible. Seeking medical advice is essential for an accurate diagnosis and appropriate treatment. Remember, early intervention can often lead to better outcomes and relief from discomfort.

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