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What does a lump at the anal opening indicate? - Online Doctor Chats

Date : 28-Feb-2014
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User:i want to get your help on a problem my husband is facing. Since last two days he is having a lump / bump near his anal opening. its out side. It pains but doesnt itch. Please advice.
Doctor:Dr. Shanthi here
Doctor:let me read your query
Doctor:Does he have anal bleeding as well?
User:he is diabetic but undercontrol
Doctor:what is his age?
User:without medication.
User:he is 38
Doctor:does the lump increase in size while passing stools?
Doctor:does it make him difficult to sit for long time?
User:yes it pain while sitting. but its on side anus opening.
User:and the size of lump has increased in last 2 days
Doctor:all right
Doctor:it could be an external hemorrhoid
Doctor:nothing but swollen veins near the anus or lower rectum
Doctor:Have you got to see the lump by yourself?
Doctor:does it seem like a soft swollen tissue with blood tinge in it?
Doctor:something like a mucus membrane?
Doctor:it is mostly hemorrhoid
Doctor:it needs clinical examination by an internist to confirm the same
Doctor:Treatment is simple
Doctor:he should be taking sitz bath twice daily
User:what is sitz bath?
Doctor:sit in a warm tub of water for at least 10 minutes twice a day.
User:any medicine?
Doctor:there are ointments like Piloseal
User:what is the possible cause/reason for this?
Doctor:It is caused due to excess strain on the blood vessels around the anus
Doctor:this can be due to sitting for long hours
Doctor:using laptop on the lap
Doctor:Continuous pressure on the anal region
Doctor:High spicy diet
Doctor:excess alcohol consumption and smoking
Doctor:stress is a factor too
Doctor:Lack of fiber in diet is another important cause
Doctor:you must give him fiber rich food
Doctor:more of fruits and vegetables
Doctor:For pain relief, he can use Lidocaine or cylocaine local jelly or ointment as well
Doctor:This is temporary treatment
Doctor:Use of laxatives can help too
Doctor:For permanent relief, surgery is the option
Doctor:Hemorrhoidectomy can be done
Doctor:Injection sclerotherapy is an option too
User:it has nothing to do with Diabetes or high BP right?
Doctor:You can discuss about all these options with his surgeon or internist
Doctor:not related to both
User:is it common or somthing to worry?
Doctor:it is a common problem
Doctor:nothing alarming
Doctor:but getting treated is important to get rid of the pain and recurrence
User:can I apply an antibiotic ointment.
Doctor:You can use preparation H ointment
Doctor:no need to use antibiotic ointment unless there is secondary bacterial infection
Doctor:I wish your husband a quick recovery
Doctor:it would be better for him to follow a bland diet as well for some time
Doctor:Hope this information helps you
Doctor:Do you have any more queries for me or doubts?
User:yes thank you very much.
User:thanks for your time
Doctor:It's my pleasure
Doctor:Shall we end the chat now?
User:yes thanks again.
Doctor:you are welcome
Doctor:good day ahead
Doctor:Take care
Doctor:Bye for now
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