Comprehensive Guide to Anal Symptoms
When to Seek Help, What to Watch For, and Why Self-Diagnosis Isn’t Enough. Self-diagnosis is not safe. While it’s good to be informed, only a qualified specialist can provide an accurate diagnosis and treatment plan.
Evaluating Anal Bleeding
- Bright red blood on stool surface + moving lump: Often hemorrhoids.
- Blood only on toilet paper + sharp pain: Possibly a thrombosed hemorrhoid.
- Blood only on toilet paper with no pain: Possibly from dermatitis due to over-cleaning.
- Blood mixed in stool: Requires colonoscopy — could indicate colitis, polyps, or tumors.
Anal Pain: What Does It Mean?
- Sharp pain after bowel movement: Anal fissure.
- Pain + fever + lump: Likely abscess.
- Persistent deep pain: Could be a tumor.
- Sudden pain after strain or exercise: Thrombosed hemorrhoid.
- Pain in elderly women with incomplete evacuation: May suggest rectal prolapse.
- Pain after unprotected anal intercourse: Possible STD (e.g., syphilis, chlamydia).
- Recurrent abscesses in smokers with acne history: Could be hidradenitis suppurativa.
- Pain over coccyx + fever: May indicate pilonidal cyst.
Lumps Around the Anus
- Skin tags: Old hemorrhoid remnants. Laser removal is possible.
- HPV warts: Cauliflower-like growths, often itchy.
- Thrombosis: Painful lump appearing suddenly.
- Abscess: Painful swelling increasing over time.
- Warning signs: Any persistent, hard, bleeding mass lasting over a month should be evaluated for cancer.
Anal Itching
- Causes: Overuse of soaps, excessive cleaning, dermatitis.
- Other causes: HPV, warts, or discharge from hemorrhoids or fistulas.
Anal Discharge
Can be due to hemorrhoids, fistulas, warts, dermatitis, or tumors.
Diagnosis at Our Clinic
We use anal ultrasound and proctoscopy to evaluate:
- Itching
- Pain
- Bleeding
- Swelling or lumps
- Discharge
When to See a Proctologist
If you experience any of the above symptoms, a specialized exam is the best way to avoid complications, incorrect assumptions, and delayed treatment.
