There is a small flesh-colored bump around the anus, causing no pain or itching.

Sep 11, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

In general, the main causes of small anal skin tags (painless and non-itchy) include prolonged sitting or standing, constipation, external hemorrhoids, rectal polyps, and rectal prolapse. If this symptom occurs, it is recommended to seek timely medical evaluation at a reputable hospital to determine the specific cause. In daily life, it is important to maintain anal hygiene and keep the area clean and dry, wear loose and breathable underwear, establish regular bowel habits, and avoid excessive straining during bowel movements.

Generally, the main causes of painless and non-itchy small anal skin tags or lumps include prolonged sitting or standing, constipation, external hemorrhoids, rectal polyps, and rectal prolapse. If this symptom occurs, it is recommended to seek timely consultation at a regular hospital to determine the exact cause. Detailed explanations are as follows:

1. Prolonged Sitting or Standing

Long-term sitting or standing can hinder blood circulation in the anal area, causing slight dilation and accumulation of local venous plexuses, which may gradually form small lumps. In daily life, it is important to get up and move around periodically. After sitting or standing for about an hour, walking for 5–10 minutes appropriately can help promote blood circulation around the anus.

2. Constipation

Long-term constipation often requires excessive straining during bowel movements, which compresses and dilates the venous plexus in the anal area, eventually forming small lumps. Dietary adjustments are necessary, including increased consumption of fiber-rich foods such as celery, spinach, and dragon fruit to increase stool bulk and promote bowel movements. Additionally, maintaining a daily water intake of 1500–2000 milliliters helps soften stools and reduces straining during defecation.

3. External Hemorrhoids

Varicose veins or connective tissue hyperplasia at the anal margin can lead to external hemorrhoids. In the early stages, these often manifest as painless and non-itchy small lumps. Under a doctor's guidance, medications such as compound fucoidan cream, Gangtai ointment, and Ma Yinglong Musk Hemorrhoid Cream can be used to relieve local discomfort.

4. Rectal Polyps

Rectal mucosal surface may develop raised lesions, and some polyps may protrude outside the anus during defecation, forming small lumps. Early stages often lack significant pain or itching. Once detected, timely medical consultation is necessary. Smaller polyps can be removed via endoscopic polypectomy under medical supervision. Larger polyps may require endoscopic mucosal resection for removal and subsequent pathological examination to prevent disease progression.

5. Rectal Prolapse

Part or all layers of the rectal wall may shift downward. In mild cases, rectal mucosa protrudes outside the anus, presenting as painless and non-itchy small lumps. In severe cases of prolapse, rectal suspension and fixation surgery are required to anchor the rectum to surrounding tissues, alleviating the prolapse condition.

In daily life, maintaining anal hygiene and dryness is important. Choose loose and breathable underwear. Develop regular bowel habits and avoid excessive straining during bowel movements. Maintain a balanced diet, reducing intake of spicy and irritating foods. Engage in appropriate physical activity to enhance intestinal motility and blood circulation, thus maintaining anal health.

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What causes a feeling of heaviness or pressure in the anal area?

In general, the main causes of anal heaviness or discomfort include improper diet, prolonged sitting and pressure, hemorrhoids, proctitis, and rectal prolapse. If uncomfortable symptoms occur, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, maintain a balanced diet with adequate dietary fiber, avoid prolonged sitting or standing, and engage in appropriate physical activity.

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What is a small fleshy lump that has appeared near the anus?

In general, the appearance of a small fleshy lump around the anus may be caused by prolonged sitting leading to poor local venous return, excessive straining during bowel movements causing venous dilation, external hemorrhoids, rectal polyps, rectal prolapse, and other related conditions. It is recommended to seek timely medical consultation to identify the exact cause and receive appropriate treatment under a doctor's guidance. Daily care of the anal area is also important, including washing with warm water daily and avoiding aggressive wiping.

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What should I do if there's a fleshy lump in the anal area?

In general, a lump in the anal area may be caused by prolonged sitting, constipation, prolapsed internal hemorrhoids, edematous external hemorrhoids, prolapsed rectal polyps, or other similar reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatment, medication, surgical intervention, or other appropriate methods. In daily life, it is important to maintain anal hygiene and avoid using rough toilet paper for wiping.

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Is a small fleshy lump in the anus a hemorrhoid?

In general, whether a small fleshy lump around the anus is a hemorrhoid needs to be determined based on specific symptoms and relevant medical examinations. If discomfort occurs, timely medical consultation is recommended. Once a small lump is noticed, avoid squeezing or scratching it forcefully with hands to prevent injury and infection. Maintain cleanliness and dryness around the anal area in daily life, consume more fruits and vegetables, drink plenty of water, and avoid constipation and prolonged sitting. If symptoms persist for more than one week, seek medical attention promptly.