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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could It Be If Had Small Bump, Intermittent Itching In Perineum Area?

I am a 49 year old male. I have a red, zit like, small bump in perinium area. Can be very itchy at times especially at night. Have tried over the counter anti-fungal (jock itch) cream with no effect. No discharge, or pain. Itching is intermittant. What might this be and what is the recommended course of action?
Tue, 28 Jan 2014
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General Surgeon 's  Response
Hello!

Thank you for the query.

If this lump comes from the anus or is attached to the verge of it, hemorrhoid is most possible reason. Itching is quite characteristic for hemorrhoids. It usually appears after a stool.
Lump in perineum area can be also a sign of fistula between the skin and the rectum. In such case, lump gets painful and some discharge can appear.
Other benign skin lesions like cyst or hair follicle inflammation are also possible.
Please consult your doctor with this lump and the treatment depends of the diagnosis.

Hope this will help.
Regards.
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What Could It Be If Had Small Bump, Intermittent Itching In Perineum Area?

Hello! Thank you for the query. If this lump comes from the anus or is attached to the verge of it, hemorrhoid is most possible reason. Itching is quite characteristic for hemorrhoids. It usually appears after a stool. Lump in perineum area can be also a sign of fistula between the skin and the rectum. In such case, lump gets painful and some discharge can appear. Other benign skin lesions like cyst or hair follicle inflammation are also possible. Please consult your doctor with this lump and the treatment depends of the diagnosis. Hope this will help. Regards.