Anal Polyps: Symptoms, Risks, and Treatment Options - Surgery

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Anal polyps


I have been eating very little to lose weight, so my bowel movements have become infrequent, sometimes only every few days.
I thought I was constipated, so I kept straining to have a bowel movement, which caused a fissure in my anus with a little bit of bleeding.
I didn't think much of it and didn't pay much attention.
Later, while showering, I suddenly felt a small flesh-like bump outside my anus.
It is skin-colored, painless, and does not itch.
Since that bump appeared, it has been difficult to pass stool; otherwise, I end up straining for a long time without success.
I am currently on my menstrual period.
Is there a risk of infection? Will I need surgical removal?

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

Dr. Xu Kaixi reply Surgery


Based on your description, it could be hemorrhoids or anal polyps.
If it is affecting your bowel movements and there is bleeding, it is recommended to visit a hospital for evaluation to determine if surgical removal is necessary.

Reply Date: 2016/03/03

More Info


Understanding anal polyps is crucial, especially when experiencing symptoms like bleeding or the presence of a growth around the anal area. Based on your description, it seems you may be dealing with an anal polyp or possibly a hemorrhoid, which can occur due to straining during bowel movements, particularly if you are experiencing constipation or infrequent bowel movements.


Symptoms of Anal Polyps
Anal polyps are typically small growths that can appear on the lining of the anal canal. They may not always cause symptoms, but when they do, common symptoms include:
- Bleeding during bowel movements
- A feeling of fullness or pressure in the anal area
- A visible growth or lump near the anus
- Changes in bowel habits, such as difficulty passing stool
In your case, the small flesh-colored growth you felt could be an anal polyp or a skin tag, especially since you mentioned it is painless and not itchy. However, the bleeding you experienced could indicate irritation or a more serious condition, so it is essential to take this symptom seriously.


Risks Associated with Anal Polyps
While many anal polyps are benign, some can be precursors to colorectal cancer. The risk of malignancy increases with certain types of polyps, particularly if they are larger or if there is a family history of colorectal cancer. It’s important to have any new growths evaluated by a healthcare professional.


Treatment Options
The treatment for anal polyps typically involves surgical removal, especially if the polyp is causing symptoms or if there is any concern about its nature. Here are some common treatment options:
1. Observation: If the polyp is small and asymptomatic, your doctor may recommend monitoring it over time.

2. Surgical Removal: If the polyp is larger, symptomatic, or there are concerns about its nature, surgical excision may be necessary. This can often be done in an outpatient setting.

3. Lifestyle Modifications: Addressing underlying issues such as constipation through dietary changes (increasing fiber intake), hydration, and regular exercise can help prevent future polyps and improve bowel habits.


Infection Concerns
Regarding your concern about infection during your menstrual period, while menstruation itself does not directly cause infections, the presence of blood can create an environment that may be more susceptible to infections, especially if there is any irritation or injury in the anal area. It’s advisable to maintain good hygiene and monitor for any signs of infection, such as increased redness, swelling, or discharge.


When to Seek Medical Attention
You should definitely consult a healthcare provider for a thorough evaluation of the growth you discovered. They may perform a physical examination and possibly a colonoscopy to assess the polyp and rule out any other conditions. Given your symptoms, it’s important not to delay seeking medical advice, especially since you have experienced bleeding and difficulty with bowel movements.

In summary, while anal polyps can be benign, any new growth, especially accompanied by bleeding, warrants a professional evaluation. Early diagnosis and treatment are key to managing any potential risks associated with anal polyps.

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A polyp has developed near the anus for several years, but it is not painful, does not cause any discomfort, and shows no abnormalities. Does this count as hemorrhoids? Is there any impact? Is removal necessary?


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