I have developed a painful swollen lump near the anal opening. The pain is present while passing stool and I also experience pain even while passing gas. Sitting for long periods makes the discomfort more noticeable. I noticed the swelling recently and it is tender to touch. I have attached a photo of the affected area for reference. I would like to know what could be causing this pain and swelling, whether it requires an in-person examination, and what tests or treatment may be needed. I have started increasing my water intake and eating fiber-rich foods to keep my stools soft. I have not attempted any treatment other than maintaining hygiene. Please advise on the seriousness of this problem and whether I should consult a general surgeon or another specialist.
Answers (7)
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A tender lump near the anus is commonly a thrombosed external haemorrhoid, but a perianal abscess or fissure must be ruled out. Because you have pain even while passing gas, please do not rely only on home care. An in-person examination by a general surgeon is advisable; tests are decided after examination and are not always needed. I can guide you further through a Practo consult.
Next Steps
Keep stools soft with fluids and fibre, avoid straining and prolonged sitting, and use warm sitz baths. Please arrange an in-person surgical evaluation soon.
Health Tips
Do not squeeze the swelling or start antibiotics/ointments without examination. Seek urgent care if fever, pus, rapidly increasing swelling, severe pain, or difficulty passing stool occurs.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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