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Painful Mass/Lump Near Anus
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An_201603 posted:
My chief complaint is that I feel a lump/mass/bump near my anus in between my scrotum and anus.

This bump is painful. It hurts to sit. It doesn't feel like an independant ball/mass it feels like its attached to my insides down there (if I could give any sort amateur description). But I could be wrong. If I push on it gently it doesn't move, just very tender. No other symptoms.

A brief medical history...

2005 - colonoscopy & endoscopy
Went for rectal bleeding and heartburn. Results came back with internal hemmies that were banded and mild inflammation of esophagus due to medication I was taking.

2008 - flex sig
Was having exact symptoms as my chief complaint today - a painful mass near anus. My PCP thought it to be an abscess and put me on anti-biotics straight away and refered me to a colorrectal surgeon to perform the flex sig to see what's up.

Colorectal surgeon didn't see anything while performing flex sig. I motioned with my finger and showed her where exactly the mass was and where it was painful, after a brief moment she said "oh yeah I feel that - I don't think that's an abscess, it's probably a cyst." She said she could take it out but didn't think I needed to unless it was greatly reducing my quality of life. So I went on my way and the pain and mass subsided.

Fast forward 3 years to today... last week I went and saw my GI (a new GI since I moved). I explained my chief complaint (as noted above) - the painful mass. He did a digital exam (with his finger/hand) and didn't feel or see anything...

Here is the deal... I had the painful mass for 3-4 days prior to visit, got in to see doctor on 6th day of the issue and by chance the mass subsided and so was the pain. So he didn't see/feel the issue.

Because GI didn't see or feel anything he recommended I apply some Hydrocortisone Acetate 2.5% - Pramoxine HCI 1% cream to the 'affected area' - and basically said it could have been a cyst and off I went.

Only 2 days later it came back. I called GI nurse, she said to try the HydroAcePram cream for 3-4 days and call back if that doesn't help.

This is the end of the second day and it still has not subsided and now I have become a very worry wart.

What is this? I do not have any other symptoms (as far as I can tell). It's a painful mass - it worries me that it's a tumor. I'm 27 so I know that colon cancer is somewhat rare for that age but I have no real answers to stand on to know what this is.

Obviously I plan on calling back if this is not go by tomorrow night, but does any of this information help shed some light for anyone?

Thanks ahead of time for listening.
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sleepbetter responded:
I am the original poster, posting from a different account...

To follow up to this thread I ended up having an MRI as suggested by a Colorectal Surgeon.

MRI found a mass near my anus in the perianal area. It was a bit deep which is why the mass was hard to feel with a digital exam.

Colorectal Surgeon wanted to excise and remove what he thought to be a cyst. After outpatient surgery he was right. It was an infected cyst in which he removed.

It's been almost 2 months now since it's been removed and I am healing very well. Unfortunately this was a VERY painful recovery for the first 2-3 weeks.

I am following up with the surgeon every couple weeks to months now.

Just wanted to share my results in case anyone has similar symptoms.


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