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Is a small lump outside the anus a hemorrhoid? How to judge?

1 Is the small lump outside the anus a hemorrhoid?

Maybe it is.

A small fleshy bump outside the anus is a symptom. There are many causes of small fleshy bumps outside the anus, including external hemorrhoids, genital warts, molluscum contagiosum, soft fibroma, prolapsed rectal polyps, Perianal abscess, anal papilloma, anal squamous cell carcinoma, etc. need to be judged based on specific symptoms and examination to determine whether a small lump outside the anus is hemorrhoids.

2 When there is a small fleshy bump outside the anus, it may be hemorrhoids

Generally, external hemorrhoids are yellowish-brown or brown-black, protruding and easily visible, with small fleshy bumps of varying sizes and shapes. There may also be a round, oval or diamond-shaped soft lump, sometimes just one, in the back or front center of the anus, sometimes several around the anus.

Normally there are no special symptoms. When thrombosis and inflammation occur, swelling and pain may occur. Some people may also experience blood in the stool.

3. What should I do if there is a small lump outside the anus and it is hemorrhoids? 1. Check and confirm the diagnosis first

Generally, to diagnose hemorrhoids, you first need to undergo a proctoscopy to see the location and size of the hemorrhoids. , morphology, etc., are the basic methods of diagnosis.

Digital anal examination can also be performed to detect primary hemorrhoidal nodules and help confirm the diagnosis. 2. Mild symptoms can be treated conservatively

If the small bump outside the anus is an external hemorrhoid, if the symptoms are mild, it can be treated conservatively with internal medication, external application of medication, diet, exercise and other methods. . 3. Severe symptoms require surgery

In the case of severe external hemorrhoids, symptoms such as pain and inflammation often occur and have caused a great impact, and surgical removal is required.

After the operation, the perianal area should be kept clean and the stool should be smooth. Use Sophora flavescens decoction or Chinese gallnut decoction to fumigate and take a sitz bath every day, and change the dressing after bathing until the wound is healed. If there is infection and inflammation, treat the symptoms accordingly. deal with.

4. What other diseases might there be if there is a small lump outside the anus? 1. Genital warts

The small lumps around the anus of patients with genital warts are often papillary, cauliflower-shaped or comb-shaped. Fleshy growths often have pedicles at the roots, which are red or gray in color. They are very easy to rupture and bleed, have a foul odor, and are susceptible to infection. Some people will not feel any special sensation, while others will feel foreign body sensation, pain, itching or pain during intercourse.

What to do

Generally, patients with genital warts need to take anti-disease drugs and undergo comprehensive treatment with surgical excision, cryotherapy, laser treatment, electrocautery treatment and other methods. 2. Molluscum contagiosum

If you observe a small pimple around the anus with a slightly concave center like the umbilical fossa, with a waxy sheen, and a white cheese-like substance can be squeezed out after the top is broken, consider this situation. It is molluscum contagiosum, which usually disappears on its own in 6-9 months.

What to do

Molluscum contagiosum is mainly treated with external antiviral drugs. Smaller skin lesions can also be excised or trimmed. Electric cauterization, freezing, and CO2 can also be used. Laser or trichloroacetic acid and pure carbolic acid cauterization; for larger pedunculated skin lesions, surgical thread ligation can be used. 3. Anal papilloma

Under normal circumstances, the anal papilla is inside the anus. When the anal papilla becomes enlarged due to certain reasons, it will protrude outside the anus, and may also be accompanied by blood in the stool, anal pain, Symptoms include anal itching, easy moisture, and small fleshy bumps becoming incarcerated. Some patients can even push the little fleshy bumps back into the anus with their hands.

What to do

In this case, it is recommended to go to the hospital for diagnosis and surgical removal. After the operation, hemorrhoid suppositories are used daily as part of anal anti-inflammatory treatment. It usually takes 5-7 days to cure. 4. Soft fibroma

If there is a small fleshy bump outside the anus of middle-aged and elderly people, which is neither painful nor itchy, it is a single pocket-like tumor on the outside, with a thin root and a pedicle shape, which is soft and inelastic to the touch. The skin color is normal, but there will be pain when twisting the base of the pimple, and sometimes inflammation will occur. In this case, it may be a soft fibroma.

What to do

Soft fibroma can usually be treated by surgical excision, chemical cauterization, liquid nitrogen freezing, electrocoagulation, laser, electrodesiccation and other methods. 5. Rectal polyp prolapse

When the rectal polyp pedicle is long, it can prolapse outside the anus. Sometimes only the anal opening is exposed, and sometimes part of the pedicle prolapses out of the anus. The polyps can be stuffed into the anus by hand. . Patients will have symptoms such as abdominal distension, diarrhea, constipation, blood in the stool, blood in the stool, bloody mucus in the stool, etc. Some patients with rectal polyps may also have long-term anemia symptoms.

What to do

The general treatment principle for rectal polyp prolapse after diagnosis is to perform surgical removal as soon as the polyp is discovered. 6. Perianal abscess

A small pimple outside the anus may be caused by a perianal abscess. A perianal abscess is actually an acute or chronic suppurative infection that occurs in the soft tissue around the rectum and its surrounding spaces. If it is formed, it will ulcerate on its own in severe cases; generally, hard lumps, pain, and fever symptoms will appear around the anus, and in severe cases, systemic poisoning may occur.

What to do

If you suspect that the pimple outside the anus is a perianal abscess, you need to go to the hospital for examination and diagnosis as soon as possible. There are not many treatment options for this disease. The only cure is surgery. And the earlier, the better. Medical treatment may be an option if surgery is unavailable or the physical condition does not allow it. 7. Anal squamous cell carcinoma

In patients with anal squamous cell carcinoma, the skin around the anus is thickened and appears as small nodular protrusions with a hard base, dry skin, movable, and after a long period of time The surface is eroded, ulcers are formed, the edges are raised and turned outward, and granular nodules are formed around it.

What to do

Treatment methods for anal squamous cell carcinoma include surgery, lymph node dissection, radiotherapy, drug chemotherapy, curettage and electrodesiccation, cryotherapy, laser therapy, Mohs Surgery, traditional Chinese medicine, etc.