Should I Be Concerned About My Symptoms?
Since November, or perhaps even before, I have experienced persistent itching in the anal region. Unfortunately, my scratching only aggravated the discomfort. During this time, I also discovered a lump approximately the size of a grape near my perineum. To alleviate the itching, I applied hemorrhoid cream for about a week, which provided some relief. Thankfully, I have not observed any bleeding or significant pain, just some discomfort. However, I have noticed that the lump appears to have enlarged, resulting in noticeable hardness around the anus when pressure is applied. The itching has subsided considerably. I visited my gynecologist last week because I felt uneasy consulting my male general practitioner. In her assessment, she performed an external examination and didn't express any concern. She suggested that I might have had a hemorrhoid that has since healed. I wonder if she might not be accustomed to addressing issues like this. Should I seek a second opinion from my general practitioner? I have mentioned experiencing some discharge as well. I can’t help but feel that my doctor must be weary of my self-diagnosing tendencies, but this issue feels too significant to overlook. Why is there still such pronounced hardness in that area, along with an overwhelming feeling of fullness?
Answers (1)
2/8/2026, 10:30:28 PM
OpenHealth AI
It's understandable to feel concerned about persistent symptoms, especially when they involve changes in the anal area. The symptoms you've described—itching, a lump, hardness, and some discharge—can stem from various conditions, including hemorrhoids, skin conditions, or other benign issues. However, since you've noted that the lump has increased in size and you experienced fullness in that area, it's important to take your concerns seriously.
Explanation
Your gynecologist's examination did not raise any alarms, which is somewhat reassuring. Hemorrhoids can indeed cause itching and discomfort and may lead to a lump near the anal region. When they heal, they can leave a hard area or a skin tag. However, when there's noticeable hardness and a feeling of fullness, it warrants further evaluation to rule out other potential issues. Your input matters significantly, and it’s valid to seek further insights, particularly if your symptoms are bothering you.
Next Steps
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Monitor Symptoms: Keep an eye on any changes in the lump, such as its size or if you notice any new symptoms (e.g., increased discharge, pain, or bleeding).
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Consult Your General Practitioner (GP): Given your unease and the persistent symptoms, it is reasonable to seek a second opinion from your general practitioner. Mention the symptoms and prior assessments clearly. If necessary, ask for a referral to a specialist, such as a colorectal surgeon or gastroenterologist, who can provide a deeper evaluation.
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Self-Care Strategies:
- Maintain good hygiene in the anal area by gently cleaning with water and avoiding irritants like scented soaps.
- Consider warm baths to soothe discomfort and reduce itching.
- Continue to avoid scratching, which can aggravate the area.
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Document Your Symptoms: Keeping a diary of your symptoms, including when they worsen or improve, can be beneficial when discussing with your GP or a specialist.
It’s essential to advocate for your health, especially when you're feeling uncertain. Trust your instincts—seeking clarity is always the right approach. Let me know if you need any more assistance or have further questions.
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