What could it be if there's a hard lump in the anus, no bleeding, but pain is present?

Jun 10, 2024 Source: Cainiu Health
Disease description:

Feeling a hard lump inside the anus, but no rectal bleeding during bowel movements, just some pain. What could it be if there's a hard lump inside the anus without bleeding, but with pain?

Doctor's answer (1)
Dr. Li Jingxiang
A hard mass inside the anus, causing pain but no bleeding, may be due to several possible conditions, including: 1. Submucosal abscess in the rectum, caused by infection of the anal sinuses or anal glands. This can present as a fluctuant mass palpable during digital rectal examination and causes pain within the rectum. 2. Rectal polyps or adenomas, which appear as intrarectal masses with good mobility. Pain may occur if local inflammation develops in the polyp or adenoma. 3. Perianal abscesses, anal fistulas, or anal papillomas, which may also cause symptoms of a hard anal mass and pain. All these conditions require professional medical evaluation for accurate diagnosis and timely treatment. Patients experiencing such symptoms should seek prompt medical attention to ensure proper diagnosis and appropriate management.