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Bump around Anal between buttline
Attached the photo. I have this bump between buttline near anal area from few months. I went for physical examination and dr couldn't understand what it is and asked to monitor. She said it's neither piles ,nor tumor. It doesn't bleed. Today, I am feeling little pain and feel of a foreign body present in this area. I am really worried. Please advise what it can be.
A bump sitting in the natal cleft (between the buttocks) rather than at the anal opening itself, present for months, non-bleeding, with a foreign-body feeling on sitting - that is most often a pilonidal sinus or a simple epidermoid/sebaceous cyst. Cancer in this area does not behave this quietly for months, so stop worrying about tumour. Your examining doctor was right that it is neither piles nor a tumour, but "monitor" is not the endpoint here.
Next Steps
Ask a general surgeon for a simple soft-tissue ultrasound of the swelling - it will tell cyst versus pilonidal sinus versus a fistula tract in one sitting, and stops the endless "monitor it" cycle. If it is a cyst or sinus, small day-care excision cures it. Meanwhile keep the area dry, remove hair around it, avoid long sitting on hard seats. See a doctor the same day if it becomes red, hot, very painful, starts discharging pus or you get fever. Happy to review your photo and report on a Practo consult and tell you if surgery is really needed.
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In the photo it looka like an External Hemorrhoidal Skin Tag: Residual stretched skin from a past minor, healed swollen vessel that doesn't bleed but can be felt externally.
If you are experiencing pain, it needs to be examined by a Gen Surgeon or GI surgeon to see for any infection, and managed accordingly.
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Your symptoms are consistent with grade 1 haemorrhoids. At this stage, treatment is usually conservative. Increase fibre in your diet, drink adequate water, avoid straining and prolonged sitting on the toilet, and keep your bowel movements soft and regular. If you have itching or discomfort, a short course of a topical haemorrhoid preparation may help.
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