Anal Polyps: Symptoms, Treatment Options, and When to See a Doctor - Surgery

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A polyp has developed below the anus?


I have a polyp about the size of a soybean located just below the anus, which has recently appeared.
I'm not sure if it is hemorrhoids.
It hurts when it gets irritated.
I'm wondering if I should leave it alone, buy some over-the-counter medication to apply, or if I need to have it surgically removed.
This is the first time I've experienced this situation, so I'm seeking your advice.

Mr. Lin, 20~29 year old female. Ask Date: 2016/03/01

Dr. Xu Kaixi reply Surgery


Painful polyps at the anal opening are more likely to be thrombosed hemorrhoids.
It is recommended to visit a surgical outpatient clinic for further examination and treatment.

Reply Date: 2016/03/01

More Info


Anal polyps, also known as rectal polyps, are growths that can develop on the lining of the rectum or anus. They can vary in size and shape, and while some may be benign, others can potentially lead to more serious conditions, including colorectal cancer. Understanding the symptoms, treatment options, and when to seek medical attention is crucial for managing this condition effectively.


Symptoms of Anal Polyps
The symptoms of anal polyps can vary, but common signs include:
1. Bleeding: You may notice blood in your stool or on toilet paper after wiping.

2. Pain or Discomfort: Polyps can cause pain, especially if they are irritated or if they rub against clothing.

3. Change in Bowel Habits: This could include changes in the frequency or consistency of your stools.

4. Mucus Discharge: Some individuals may experience mucus discharge from the anus.

5. Visible Growth: As you described, a polyp may appear as a small lump near the anus, which can be painful if it gets irritated.


Treatment Options
The treatment for anal polyps largely depends on their size, type, and whether they are causing significant symptoms. Here are some common approaches:
1. Observation: If the polyp is small and not causing significant discomfort, your doctor may recommend monitoring it for changes.

2. Medications: Over-the-counter topical treatments may help alleviate discomfort, but they do not remove the polyp. If the polyp is associated with hemorrhoids, treatments for hemorrhoids may provide relief.

3. Surgical Removal: If the polyp is large, painful, or shows signs of being potentially cancerous, surgical removal may be necessary. This is often done through a minimally invasive procedure.

4. Follow-Up: Regular follow-up with your healthcare provider is essential, especially if you have a history of polyps or colorectal cancer in your family.


When to See a Doctor
You should seek medical attention if you experience any of the following:
- Persistent Bleeding: If you notice blood in your stool or persistent bleeding from the anus.

- Severe Pain: If the pain becomes severe or does not improve with over-the-counter treatments.

- Changes in Bowel Habits: If you experience significant changes in your bowel habits, such as prolonged diarrhea or constipation.

- Growth Changes: If the size or appearance of the polyp changes or if new symptoms develop.


Conclusion
In your case, since you have a new growth that is painful and you are unsure whether it is a polyp or hemorrhoid, it is advisable to consult a healthcare professional. They can perform a physical examination, possibly including a digital rectal exam or a colonoscopy, to determine the nature of the growth. Early diagnosis and treatment are key to preventing potential complications, including the risk of cancer associated with certain types of polyps.

While it may be tempting to self-treat with over-the-counter medications, it is essential to have a proper diagnosis to ensure that you are addressing the underlying issue effectively. Remember, your health is paramount, and seeking professional advice is always the best course of action when dealing with new or concerning symptoms.

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