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Coachrobmd
Coachrobmd, Internal Medicine MD
Category: Medical
Satisfied Customers: 1785
Experience:  •Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.
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I have a small hard bump in my anus. Should I be worried?

Resolved Question:

I have a small hard lump just inside the sphincter of my anus. It in the superficial tissue. It feels harder than what a hemorrhoid would feel and very small (smaller than a pea). It doesn't seem to extend into the deeper tissue- just superficial.
Submitted: 5 years ago.
Category: Medical
Expert:  Coachrobmd replied 5 years ago.

Coachrobmd :

Hi,

Hemorrhoids do not have to be soft, they can be hard or medium. It depends upon what process is going on.

A lump there can be a blocked duct causing a cyst or pimple. These are benign.

<span class="JA_chatAuthorName"Customer:

Yes

<span class="JA_chatAuthorName"Customer:

So I shouldn't worry about the big "C"...

Coachrobmd :

No, that is unlikely. Worse comes to worse, it can be easily biopsied. But no, that is unlikely to present as a small nodule

<span class="JA_chatAuthorName"Customer:

It is just beyond the anal sphincter and and it seems to be isolated to the superficial tissue. It is hard though, not spongy like a external hemorroid, almost granular (it seems)

Coachrobmd :

You should see your Primary Care Physician (PCP) to actually have him look at it. It may need to be lanced if it is a fluid filled pocket, as pus pockets are often found in the anus.

<span class="JA_chatAuthorName"Customer:

Not sure what internal hemorrhoids feel but always assumed that they were spongy like the external one's.

Coachrobmd :

Granular may be a hardened sebaceous cyst, which can feel just as you describe.

You can't feel internal hemorrhoides as they are much deeper. This is too close to the outsiode for that.

<span class="JA_chatAuthorName"Customer:

This is good news...Just leaving for vacation and was hoping I wouldn't have to worry the whole time. For my edification, can you palpate "cancer" in the rectum or is it a no?

Would cancer be something that you feel upon digital exam?

How do I, know if it's time to panic?

Coachrobmd :

Yes, you can palpate cancer if it's large enough, and can occasionally be felt on digital exam.

You panic when a biopsy shows it's something to worry about. That's when you worry. For now, think CYST not CANCER, okay?

<span class="JA_chatAuthorName"Customer:

LOL.. You know us nurses.. It's always the worst... A bump just can't be a bump..

Coachrobmd :

Well, sometimes a bump is a bump.

<span class="JA_chatAuthorName"Customer:

Just to be sure that I've explained it correctly, the lump is just beyond the sphincter... It's not a bit more internal...Still could be the same thing?

Is rectal cancer painful? This isn't painful.

Coachrobmd :

Yes, it can be. Again, have the Primary Care Physician (PCP) look at it, it is easy to identify.

<span class="JA_chatAuthorName"Customer:

Thank you for your time.

Coachrobmd :

Thanks!

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