"18 months ago, I had a smooth swelling near my anus.( image attached) When touched, it felt smooth like a boiled bubble. About 6 months ago, it disappeared automatically on its own. Now, it has appeared again. What could be the reason for this, and what type of condition might it be? I do not have any other symptoms such as blood in stool, constipation, etc."
A recurring swelling in the anal region like a boil, disappearing and then returning months later—is highly characteristic of a perianal abscess or an underlying anal fistula.
Even without common bowel symptoms like constipation or visible blood in the stools, recurring lesions in this specific area require evaluation by a healthcare professional, such as a colorectal surgeon or general surgeon, because they rarely resolve permanently on their own
Next Steps
You can manage local discomfort by:
• Taking warm sitz baths (soaking the area in clean, warm water for 15–20 minutes, 2–3 times a day)
• Keeping the perianal skin clean and dry.
• Avoiding squeezing, popping, or trying to drain the swelling manually.
⢠Perianal Fistula (with a temporary blockage): This is one of the most common reasons for a bump near the anus to repeatedly appear and disappear. A fistula is a small tunnel connecting an internal gland inside the anus to the external skin. When the external opening heals over or gets blocked, fluid or mucus builds up underneath, creating a smooth, "boiled bubble" swelling. When the pressure causes it to drain internally or microscopically, the swelling completely vanishes, only to reform later when the tract closes again.
Please consult a General Surgeon for examination and management.
Next Steps
Please consult a General Surgeon for examination and management.
Hello.. this could be external hemorrhoids.
Or it could be a perianal abscess . is it painful ??
If yes. Then you should get it checked from a general surgeon nearby
It looks like external hemorrhoids or piles. But it may be perianal abscess. Need to be checked by a surgeon to clearly differentiate. Avoid prolonged sitting.
Next Steps
Get it examined by a surgeon
Health Tips
Avoid straining
Check for any pain on touching
Sitz bath
Avoid constipation
Avoid prolonged sitting in washroom
Based on your description, the recurrent swelling near your anus could be due to an external haemorrhoid (pile), a perianal cyst, or occasionally a perianal abscess or fistula.
Since the swelling disappeared on its own and has now reappeared, it is important to identify the exact cause.
The absence of bleeding, constipation, or pain is reassuring, but these symptoms are not always present in anorectal conditions.
I would like to know a few details:
1. Is the swelling painful or completely painless?
2. Is it soft or firm when touched?
3. Does the swelling increase in size during or after passing stools?
4. Have you ever noticed pus or fluid discharge from the swelling?
5. Is the swelling appearing at exactly the same location as before?
I would recommend a physical examination by a general surgeon to confirm the diagnosis. If a fistula is suspected, further investigations such as MRI fistulography may be required.
Meanwhile, avoid squeezing the swelling and maintain good perianal hygiene.
If you develop severe pain, redness, fever, or rapidly increasing swelling, seek medical attention promptly.
Image you have enclosed showing it might be Hemorroids
According to your history swelling appeared first and later disappeared indicates it to b a skin tag or else a Sentinel pile.
One more thing blood in stool indicates either of bleeding pile / Fissure in Ano
It requires proctoscopy examination and management According to findings
Next Steps
As of now prevent constipation 1.High fibre diet 2.Adequate hydration3.Sitz bath 3times daily in warm water
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.
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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