HomeAnswersMedical GastroenterologyhemorrhoidsWhy do I have a bump near my anus?

I have a lump that looks like a hemorrhoid in my anus. What is the cause?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

iCliniq medical review team

Published At March 16, 2021
Reviewed AtAugust 31, 2023

Patient's Query

Hi doctor,

I have a lump that looks like hemorrhoids in my anus. I have had it for a very long time. Lately, my bowel habits have changed. I am constipated most of the time, although I admit my diet is not ideal. I do not eat many fibery foods, and I eat mostly takeaways and cold drinks. The hemorrhoids are not painful, but they tend to get bigger sometimes. I went to a gastroenterologist, but he never looked at them. He just gave me a cream, but they did not help the hemorrhoids much. They are not painful. My bowel habits are changing for such a long period (one year now), I start to think it might be more serious. I had rectal bleeding twice in the last two years. My stool is not dark or bloody. Usually, light brown, and it changes inconsistency. Sometimes small lumps, sometimes long strips. I am usually constipated, though. Is it possible that milk, cheese, and fizzy drinks are causing this? I also notice many pimples around my chest and back area lately, especially the chest and back of the neck and lower head area. I am again feeling tired a lot and nauseous. I do not vomit, feel nauseous for a while, and then it gets better. I am currently taking Librax.

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

I can understand your concerns. The presence of non-bleeding, non-painful hemorrhoids is not a problem at all. Grade 2 hemorrhoids are those which tend to come with stools and tend to go back spontaneously. It does not require treatment except to observe. Constipation is an issue, but please be guided that some change in consistency, form, and color of stools is a norm rather than a pathology or disease. However, persistent hard stools with long sitting times in the restroom are abnormal. However, I do not believe there is anything really serious in you. But I am asking for a certain investigation that would exclude things if serious. The plan is to suggest you some medicines to help with your constipation but let me be honest with you. I do not see that they will help as much unless you try to lose some weight. Obesity can cause a significant burden not only over the gut but to every other organ in the body, namely the liver, heart, muscles, joints. Reducing weight would add helping your bowels as well. Plus, I will suggest you some investigations to rule out thyroid, diabetes, and cholesterol issues. First, try to change your diet. This is one of many other important things to prevent constipation, tiredness, mental fog, etc. Try to consume fresh vegetables, whole fruits (not juices of any kind) and avoid soda drinks, including energy drinks. Take atleast three liters of water in a day. Do exercise regularly and do it on an empty stomach before having meals.

The Probable causes

1. Dyssynergic defecation: This is an abnormal paradoxical contraction of anal muscles when passing stools. Ideally, they should relax, but they start contracting instead of relaxing due to excessive pressure from above. 2. Irritable bowel syndrome (IBS). 3. Functional constipation or idiopathic constipation. 4. Thyroid, diabetes, cholesterol issues.

Investigations to be done

CBC (complete blood count), TSH (thyroid-stimulating hormone), FT4 (free T4), HbA1c (hemoglobin a 1 c), liver function tests, stool detail report, stool for occult blood on three consecutive days in the morning, fasting blood sugar and serum insulin (fasting blood sample), fasting lipid profile.

Treatment plan

Stop Librax (Chlordiazepoxide and Clidinium) now, it will worsen your constipation. Take Movicol Sachet (Polyethylene glycol) 17 grams. Take two sachets in the water at night before bedtime. Take it regularly for now till I advise you to stop. Tablet Itopride (Ganaton) 150 mg. Take one tablet half hour before breakfast daily.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Medical Gastroenterology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy