Painful Bumps Near the Anus: Is It Hemorrhoids? - Surgery

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A small round lump near the anus?


Hello, doctor.
I have a round bump near my anus, right next to the anal opening.
My family says it is an external hemorrhoid.
Can external hemorrhoids be painful? I do experience pain, but after applying medication (for external hemorrhoids), the pain has significantly decreased.
It hurts during bowel movements, but there is no bleeding.
It only hurts when I press or touch it.
Can this confirm that it is an external hemorrhoid? My appetite remains unchanged.
My anus feels like it is contracting and relaxing; when it contracts, it hurts.
For example, when I use the restroom.
Could you please explain what this is? I haven't done anything specific, so why did this suddenly appear? Additionally, since I am currently applying medication myself, do I still need to see a doctor? Thank you!

W, 10~19 year old female. Ask Date: 2016/03/02

Dr. Ke Fangxu reply Surgery


If it is a thrombosed external hemorrhoid, the pain typically lasts about a week before it ruptures, and once the blood has drained, it is considered healed.
However, if it is an anal fistula, the symptoms will recur and cannot be completely cured.
Without a personal examination, it is impossible to provide a definitive answer regarding which condition it is.
If symptoms persist despite topical treatment, it is essential to consult a physician for an examination.

Reply Date: 2016/03/02

More Info


It sounds like you're experiencing discomfort near your anus, which you suspect might be hemorrhoids. Hemorrhoids are indeed a common condition, and they can present as painful bumps or lumps around the anal area. Let's break down your symptoms and provide some clarity on what you might be dealing with.


Understanding Hemorrhoids
Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be classified into two types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Based on your description, it seems you might be dealing with external hemorrhoids, especially since you mentioned the presence of a painful bump near the anus.


Symptoms of External Hemorrhoids
1. Pain and Discomfort: External hemorrhoids can indeed be painful, particularly when sitting, during bowel movements, or when the area is touched. The pain can vary in intensity, and it often feels worse when there is pressure on the area, such as during straining or sitting for long periods.

2. Swelling and Inflammation: You may notice swelling around the anus, which can be accompanied by a lump that is sensitive to touch.

3. Itching or Irritation: The area may feel itchy or irritated, which can be exacerbated by hygiene products or excessive wiping.

4. Bleeding: While you mentioned that you do not experience bleeding, it's worth noting that some individuals with hemorrhoids may notice blood on toilet paper or in the stool.


Treatment Options
You mentioned that applying medication for external hemorrhoids has provided relief, which is a positive sign. Over-the-counter treatments often include topical creams or ointments that contain hydrocortisone or witch hazel, which can help reduce inflammation and alleviate pain.

Here are some additional self-care measures you can consider:
- Warm Sitz Baths: Soaking in warm water for about 15-20 minutes several times a day can help soothe the area and reduce discomfort.


- Dietary Changes: Increasing your fiber intake can help soften your stool, making bowel movements easier and reducing the strain that can exacerbate hemorrhoids. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

- Hydration: Drinking plenty of water can also help prevent constipation and promote regular bowel movements.

- Avoid Straining: Try to avoid straining during bowel movements, as this can worsen hemorrhoids. If you feel the urge to go, don’t delay.


When to Seek Medical Attention
While many cases of hemorrhoids can be managed at home, there are certain situations where you should consider seeing a healthcare provider:
- Persistent Pain: If the pain does not improve with home treatment or worsens over time, it’s advisable to seek medical advice.

- Bleeding: If you notice any bleeding, even if it’s minimal, it’s important to consult a doctor to rule out other potential issues.

- Changes in Symptoms: If you experience any new symptoms, such as significant changes in bowel habits, or if the lump increases in size, you should seek medical attention.

- Difficulty with Daily Activities: If the pain interferes with your daily activities or quality of life, it’s a good idea to consult a healthcare professional.


Conclusion
Based on your description, it does sound like you may be dealing with external hemorrhoids, especially since you experience pain that improves with topical treatment. However, it’s always best to consult with a healthcare provider for a definitive diagnosis and personalized treatment plan, especially if symptoms persist or worsen. They can provide a thorough examination and discuss further treatment options, which may include procedures if necessary. Remember, while hemorrhoids are common and often manageable, it’s essential to monitor your symptoms and seek help when needed.

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