The anus marks the end of the alimentary canal. It is the opening through which waste digestion materials leave the body. The anus is directly connected to the rectum.
Sometimes, you may notice a lump on or near the anus. Most people will be worried or even feel embarrassed to openly talk about such a condition. Such lumps are common and it’s best to learn more about them.
Some causes of lumps on or inside the anus are completely harmless. Some are irreversible while others are extremely dangerous. It is very important to know which steps to take when any of such lumps occur. This article discusses; Not Painful, Hard, Small, Pea Sized Lump on or Near the Anus: Symptoms, Diagnosis and treatments. You can also consider learning more on topics such as a painful lump in scrotum after vasectomy, how to check for breast lumps and small lump on my eyelid.
Painful lump on and near anus; anal abscess
Anal abscess is a form of a bacterial infection. It mostly occurs when the anal glands contract an infection.
An anal abscess forms a painful lump on or near the anus. The lump exhibits most characteristics of an infection, such as warmth, skin redness and pus formation. Throbbing will also occur, which is aggravated by sitting. Secondary symptoms of infection such as fever and chills develop if the abscess is left untreated.
Skin damage such as caused by an injury or anal fissure may result in an abscess when infected. The abscess can also develop from infections in blocked anal glands. STDs cause open sores on the skin and therefore promote formation of anal abscesses.
Diagnosis and treatment
Based on symptoms and physical examination, a doctor can identify an anal abscess. Ultrasound or MRI scans may be necessary, especially if the abscess has caused fistula.
Anal abscesses can be drained locally in a clinic. Removal through surgery is the best treatment approach. Most lumps that have been removed surgically rarely come back. If need be, your doctor will prescribe antibiotics and pain killers.
Bleeding, itchy lump near and inside anus; hemorrhoids
You may happen to notice blood on your toilet tissue. This could be accompanied by presence of an itch on your anus and a lump next to the anus. These are symptoms of hemorrhoids.
- Internal hemorrhoids – They occur deeper inside anus, in the rectum. They in most cases remain unnoticed, unless irritated which results in bleeding. Prolapsed hemorrhoid occurs when the internal hemorrhoids are pushed through anal opening, mostly due to straining.
- External hemorrhoids – External hemorrhoids occur around anal skin. They are easily irritated and occasionally bleed. Irritated external hemorrhoids can also cause an itchy anus and pain.
- Thrombosed hemorrhoids – these form when a blood clot forms in external hemorrhoids. They are very painful and will most likely cause swelling. A hard lump near the anus will form.
Hemorrhoids develop through the same process that forms varicose veins. They basically are complications of blood veins located just underneath anal skin. Activities or factors that encourage accumulation of pressure in the anal region will promote formation of hemorrhoids. They are very common causes of lumps inside and outside the anus.
Normally, hemorrhoids are not painful or itchy. It is only after irritation or injury that they can be painful and occasionally bleed. This is common with external hemorrhoids. Blood stains can be seen on toilet paper.
You may also feel itchiness around the anus, especially when sitting. The itch tends to increase in certain periods then eases after some time.
If you feel a painful hard lump near anus accompanied by the other symptoms identified above, you are dealing with a thrombosed hemorrhoid.
Diagnosis and treatment
Diagnosis for hemorrhoids can be done by physical examination. They form a purple lump. This is mostly true of external hemorrhoids. For internal hemorrhoids, an anoscope can be used.
A variety of topical medications may be prescribed for hemorrhoids. They should be used as directed by your doctor.
Ligation with rubber bands is quite an effective treatment alternative. The rubber bands are placed on internal hemorrhoids to cut flow of blood. With time, the hemorrhoids will fall off on their own. Laser poisoning can also be used to harden the veins. This prevents from bleeding and constant irritation. Hemorrhoids are in some cases shrunk using injections.
If the hemorrhoids are of much discomfort and pain, they can be surgically removed. Stubborn hemorrhoids are best removed surgically.
Lump on anus after diarrhea; anal fissure
An anal fissure can cause a small lump in the anus after diarrhea. Basically, an anal fissure develops when the moist lining of the anus slightly tears. In most cases, anal fissures occur after passing hard stool. Small ones may develop after diarrhea.
- Forcing or passing large or hard stool
- Bowel movements that cause straining
- Inflammatory bowel diseases
- It is common for infants to develop anal fissures
- Painful bowel movements
- Blood on toilet paper
- Cracks on anal lining
- Anal irritation
- Skin tags
Diagnosis and treatment
An anal fissure can be diagnosed through physical examination. An anoscope will be used if the fissure occurs deeper inside the anus.
Treatment is done with topical creams which ease pain. Nitroglycerine is applied externally. It works by encouraging blood flow and relaxing anal muscles. Injections and medications that work by relaxing the anal sphincter can also be prescribed.
Severe and recurring anal fissures are treated surgically. This involves getting rid of a small part of the anal sphincter.
Is a lump near anus not painful a sign of cancer?
Cancer lumps are known to be relatively painless especially in the first stages. It is for this reason that a lump near the anus without painful symptoms may be a call for concern.
Anal cancer is fairly uncommon. It occurs in the anal canal, the tube from the end of the rectum to the anal opening.
Like most cancers, anal cancer develops when normal body cells go rogue and multiply abnormally fast. This gives rise to too many cells which then form a tumor. Risk factors for anal cancer include:
- Other types of cancer
- Careless and anal sex
- Old age
The symptoms of anal cancer can easily be confused with hemorrhoids or other conditions of the lower abdomen. They include:
- Bleeding rectum or anus
- Lump in the anal canal
- Itching in the anus
- Thin stools
- Changing bowel habits
Cancerous tumors generally cause hard and mostly painless tumors. Irritation and pressure due to sitting can make an anal cancer lump painful. If not treated, the cancer cells will spread into the lymphatic system. From there, they will form other lumps in other body organs such as lungs, belly or even the brain. A hard bony lump on the roof of the mouth can also indicate spreading cancer cells. Spreading of cancer cells makes it hard to treat the disease.
Be sure to consult your doctor if you notice a hard lump near the anus that keeps increasing in size. If diagnosed early enough, anal cancer is treatable.
Other causes of lump on and near anus
Warts are benign growths caused by HPV. You can have a single wart or several of them in a cluster. Anal warts occur next to anus but can also develop on the skin between anus and vagina or scrotum. They do not require treatment unless infected.
A skin tag is a small projection of the skin. It forms mostly due to friction. Skin tags are common between the butt cheeks. They can form a pink lump but will normally take the color of skin. Like warts, skin tags do not require treatment. This is unless they get infected or cause discomfort.
Pinworms are tiny parasites that live in the rectum and colon. When one is sleeping, female pinworms lay many eggs just outside the anus. This can cause an itchy anus and a small lump.
Home remedies for lump on and near anus
Anal lumps can be treated effectively with a number of home treatments and remedies. They include:
Aloe Vera has been found to have anti-inflammatory properties. It also soothes irritated skin, especially due to hemorrhoids. To use aloe Vera, apply the gel directly to the lumps. You can use purchased aloe Vera juice or squeeze fresh gel from the plant’s leaves. Aloe Vera can also be used for a painful lump on the top of the foot with signs of infection.
Itchy or painful lumps near anus respond well to witch hazel. The plant is also known for its anti-inflammatory properties. It can be purchased in liquid form or in products like soap that contain it.
Dry or hard toilet paper mostly irritates lumps near or on the anus, especially after diarrhea. Wipes are a better alternative. They will help maintain hygiene while at the same time avoid irritating lumps around anus. Go for wipes with products such as witch hazel rather than ones containing perfumes or alcohol.
Epsom salts are said to relieve pain and discourage bacterial growth. The best way to use them is to add to lukewarm bath water and soak in for about 20 minutes. The treatment works best when done after a bowel movement. Salt solutions are sometimes used for treatment of a lump under chin with no pain or in throat.
Cold compress is perhaps the most popular treatment for painful, itchy or irritated anal lumps. To cold compress, wrap ice packs in a plastic bag and cover the bag with a piece of cloth. Hold the cloth on the lump for about 10 minutes. You can try this on bleeding hemorrhoids. Cold compress can also be used for a painful lump in the armpit due to swollen lymph nodes.
Avoid wearing abrasive or tight clothes. They encourage sweating, which in turn irritates and aggravates symptoms of anal lumps. Wearing cotton underwear can improve the situation.
Drink a lot of water, especially when constipating or after diarrhea. This helps avoid hard stools. Hard stools encourage anal fissures, bleeding hemorrhoids and formation of skin tags.
Exercises can also help in long-term management of anal lumps. During exercises, constipation is helped to be avoided.