Get your Health question answered in 3 easy steps

166 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes hard lump on the outside of rectal opening?

Answered by
Dr.
Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2227 Questions

default
Posted on Mon, 25 Aug 2014 in Digestion and Bowels
Question: Dear Doctor,

Could you please give me your opinion regarding the following:

A hard lump 0,5cm-1cm right under (on the outside) of the rectal opening. The lump feels like cartilage and its possible to wiggle it. It does not have any specific color. Lump does not feel warm nor does it itch or sting. Lump feels sore and pain is present all the time but the lump does not seem to be filed with pus, although it may very well be. Feels like something under the bump hurts, like the bump is pressing against something under it. Touching the lump generates pain. Does not seem to be a problem with the skin itself but rather whats under the skin. Patient has been using rectal cream containing hydrocortisone and lidocaine for 10 days and the lump has not gotten any smaller nor bigger. The cream takes away some of the pain, probably because it contains lidocaine. Patiens has previously been passing a little bit of bloody stools (clear red) but this seems to have improved by the use of the cream mentioned earlier.

Regards
doctor
Answered by Dr. Klerida Shehu 19 hours later
Brief Answer:
A picture of lump is needed...

Detailed Answer:
Hi XXXXXX,

Various pathologies can be the cause of such lump:

- infection (of the local hair root, fistula ,etc.)
- tumoral issue
- regional lymph-adenitis

Further examinations are needed to determine the right cause, i.e. transrectal echo-endoscopy is the best choice for the diagnosis and to take material to run biopsy.

If the patient has done any test, then, can you please send the reports to me? Can you also send a picture of the lump (if it is visible)? I need to analyze them myself, so I can give final conclusions!

Thank you!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Klerida Shehu 43 hours later
Dear Doctor,

Please see the attached document.

Regards
doctor
Answered by Dr. Klerida Shehu 28 hours later
Brief Answer:
External hemorrhoids...

Detailed Answer:
Hi XXXXXX,

Thank you for providing the attached document.

I have gone through the picture you sent in, and to my opinion, it might be external hemorrhoids.

Therefore, I highly recommend to :
- run anoscopy
- and to consult with proctologist for further specific treatment

I advise to avoid constipation and straining for too long when passing bowel movement.

All the best!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Klerida Shehu 17 hours later
Dear Dr,

Thank you for the answer.

As I wrote earlier the patient has been using rectal cream for hemorrhoids containing hydrocortisone and lidocaine for 2 weeks without any improvement. If it was a hemorrhoid, there should have been some improvements by now, do you agree? Could it be an abscess?

Regards
doctor
Answered by Dr. Klerida Shehu 2 days later
Brief Answer:
Transrectal ultrasound is determinative...

Detailed Answer:
Hi back XXXXX,

From the photograph, it does not seem to be abscess. Furthermore, you are not mentioning any inflammation symptom (being warm, unbearable pain, fever, etc.)

I strongly advise to run transrectal ultrasound for determinative conclusions.

All the best!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,  
Medical Procedures
Medical Topics

Recent questions on Cartilage

doctor1 MD

My friend has aa tingly numb spot on the cartilage of his outer ear - this has gone on for 2 days. No assoc pain or bumps...no redness. No other symptoms, has not experience any neck or other pain. Originally it felt cold as if there was water on that spot but no fluid is there...now just numb and tingly. What could this be?

doctor1 MD

Hi, I had my upper cartilage pierced a week and a half ago and when i first went he said i had difficult ears to pierce but, said he could do it anyway. i've been having really bad pain and last night I went to A&E who told me that i'm allergic to the metal and I was close to getting septicemia, the piercer screwed a lip bar in my ear so it took three doctors to get it out because it was stuck they've put me on a strong course of Anti-biotics. I was already poorly but today i've started feeling very poorly; my question is: when will I start to feel better? (18 years old)

doctor1 MD

I have a nasal perforation , visited a local ENT specialist and he said there was nothing that could be done , that all the techniques available didbn't work and caused more problems , made it worst . Please let me know what different procedures are available , and , is it possible for the hole to become smaller by cartliage growth ? It's well nown in the field of Arthritis care that it is possible , I wonder in at least the hole can become smaller by taking supplements , eating cooked cartilage , etc.Thanks , Mark

doctor1 MD

i recently bought a nose magic clip which says it will make the nose less bulbous after a few months. alot of people on youtube said it worked slightly. what i would like to know is if putting on the nose magic on the tip will ruin the cartilage, making the nose bigger. that is all i am worried about. i have read that pressing the nose will cause it to become bigger. is this true? thank you

doctor1 MD

Hi Doctor, To give background. if you remember you where asked serious of questions related to child not urinating and mother milk not coming 1 week back. i am the same. Just to remember in future conversations my name is "Axxxxxxx" Baby age: 3...

doctor1 MD

I am having knee pain in my right knee (See attachment). the pain is dull and only slightly nagging when, but is more painful during cold weather. the pain is most noticeable when climbing stairs. pain when climbing stairs is more painful than the...

doctor1 MD

ear Doctor, I am male aged 45 yrs vegetarian. I am doing a Central Government job. My life is sedentary one. MY PROBLEM IS SINCE ONE YEAR OSTEOARTHRITIS DEVELOPED IN THE KNEES. DOCTOR HAS SUGGESTED FOR X-RAY AND MRI . IN THIS IT IS FOUND OUT THAT...