What Causes A Round Lump On The Side Of The Anus?

Posted on Thu, 15 Sep 2016

Question: This past weekend I felt a round lump on the side of my anus. It was very uncomfortable to sit and even lie down, not to mention to go to the bathroom or cough. The pain has subsided a lot, but now I am bleeding some and the lump is smaller. The bleeding is more than spotting, but not flowing either. Any suggestions.

Answered by Dr. Hari Charan Perigela (32 minutes later)

Brief Answer:
It looks like a Perianal abscess.

Detailed Answer:
Hi
As per your description, it looks like a Perianal abscess.
I have seen many patients coming to my clinic with severe pain near and and when I ask them to sit,they cannot sit properly.If the swelling touches any surface, it will be more painful.
The swelling might have come down due to spontaneous rupture of the abscess.Once the pus has come out, some amount of blood will be oozing.It reduces in course of time.
Another condition that has to be excluded is Thrombosed pile.It is seen at the anal opening. Once the blood clot is dissolved or come out,the swelling comes down and there will oozing of blood from it which gets reduced gradually .
If you do not have any objection,Please post a pic showing the site of lesion .
Please consult a General surgeon/Surgical Gastroenterologist, get examined clinically and proceed accordingly.
Hope I answered your query.If you have any questions, I will clarify further.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hari Charan Perigela (2 hours later)

How long can I expect it to bleed for?

Answered by Dr. Hari Charan Perigela (6 hours later)

Brief Answer:
It can't be predicted.

Detailed Answer:
Hi
The time cannot be predicted.
I prefer to do Surgery and stop the bleeding immediately.
Hope I answered your query.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Hari Charan Perigela (20 hours later)

Does it sound like hemorrhoids to you at all? I went to my primary doctor today and she thinks it is hemorrhoids, but she didn't look at it.? I would have thought she would have wanted to at least look at it before she told me what it was.. I didn't know hemorrhoids bleed more than spotting.

Answered by Dr. Hari Charan Perigela (4 hours later)

Brief Answer:
It can be Haemorrhoids.

Detailed Answer:
Hi
To say it as a Haemorrhoids or Perianal abscess,doctor should see and palpate the lesion. Per rectal examination should also be done.
In some,haemorrhoids bleed a lot.They are nothing but swelling arising in relation to a blood vessel.
When there is trauma or irritation to the swelling during defecation , it bleeds.
In my opinion, you should consult a Specialist, get examined clinically and get appropriate prescription.
Wish you good health.
Regards

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Above answer was peer-reviewed by : Dr. Nagamani Ng