Items near the anus?
Hello, doctor.
I have noticed a growth near my anus that causes pain intermittently when I stand, and also when I get up from sitting.
It hurts when I touch it, and the only time I don't feel pain is when I'm lying down.
Today the pain has become unbearable, so I went to buy some rectal suppositories (for hemorrhoids) and used one.
However, I'm worried that it might not be hemorrhoids, so I wanted to ask what this could be.
It's causing me a lot of distress.
Are there any precautions I should take regarding my diet or daily routine? I would appreciate your guidance.
Thank you.
Wei, 10~19 year old female. Ask Date: 2016/03/02
Dr. Ke Fangxu reply Surgery
Your description is too brief to determine the issue.
If the pain is severe, there are generally two possibilities: acute thrombosed hemorrhoids or an anal abscess.
If you are experiencing significant pain, please seek medical attention immediately.
Delaying treatment could lead to serious complications such as sepsis or anal incontinence, so do not take this lightly.
Reply Date: 2016/03/02
More Info
Painful growths near the anus can be distressing and uncomfortable, and it's important to understand the potential causes and appropriate care. Based on your description, it sounds like you may be dealing with a condition such as hemorrhoids, anal fissures, or possibly an anal abscess or other growths. Let's break down these possibilities and discuss what you can do to manage your symptoms and when to seek further medical attention.
Possible Causes
1. Hemorrhoids: These are swollen veins in the lower rectum and anus that can cause pain, especially when sitting or standing. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms often include pain, itching, 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 and after bowel movements, and you may notice blood on the toilet paper.
3. Anal Abscess: This is a collection of pus that can form near the anus due to infection. It can cause significant pain, swelling, and sometimes fever. An abscess usually requires medical treatment, possibly including drainage.
4. Other Growths: There are other potential growths, such as warts (caused by the human papillomavirus), skin tags, or even more serious conditions like tumors. While these are less common, they should be evaluated by a healthcare professional.
Self-Care and Management
- Over-the-Counter Treatments: You mentioned using a suppository for hemorrhoids. This can provide temporary relief for hemorrhoids or anal fissures. Look for products containing hydrocortisone or witch hazel, which can help reduce inflammation and discomfort.
- Warm Baths: Soaking in a warm bath (sitz bath) can help soothe the area and reduce pain. Aim for 10-15 minutes several times a day, especially after bowel movements.
- Dietary Changes: To prevent constipation and promote regular bowel movements, increase your fiber intake through fruits, vegetables, whole grains, and plenty of fluids. This can help reduce straining during bowel movements, which can aggravate hemorrhoids and fissures.
- Avoid Straining: When using the bathroom, try not to strain. If you're having difficulty, consider using a stool softener or a fiber supplement.
- Hygiene: Keep the area clean and dry. After bowel movements, gently clean the area with water and avoid harsh soaps or wipes that may irritate the skin.
When to Seek Medical Attention
If your symptoms persist despite self-care measures, or if you experience severe pain, significant bleeding, or any signs of infection (such as fever or swelling), it’s important to consult a healthcare professional. They can perform a physical examination and may recommend further tests or treatments based on their findings.
Conclusion
While it’s understandable to be concerned about growths near the anus, many conditions are treatable with proper care. Pay attention to your symptoms, maintain a healthy diet, and don’t hesitate to seek medical advice if your condition worsens or doesn’t improve. Remember, early intervention can often lead to better outcomes and relief from discomfort.
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