Painful Lump near Anus

A painful lump near anus is most often due to haemorrhoids. There are lumps of tissue in the anal canal that contains blood vessels, as well as, muscle and elastic fibres. The anal canal is located just before the rectum. Sometimes, these blood vessels can swell and inflame. This condition is known as haemorrhoids. Enlarged haemorrhoids are common in people who do not have adequate amounts of fibre in their diets, who strain when having a bowel movement and who sit for a prolonged period in the toilet. Pregnancy and childbirth can also cause haemorrhoids.


There are two types of haemorrhoids. These are external and internal haemorrhoids. A lump near the anus is usually an indication of external haemorrhoids. Internal haemorrhoids occur inside the anus but may protrude occasionally, but generally retract back in on its own. However, there are some cases where internal haemorrhoids protrude permanently and may require treatment. The most common symptom of external haemorrhoids is dark brown blood in the stools, painful swelling and a lump near the anal area. When this occurs, excessive straining and cleaning around the area will cause more pain and lead to irritation. A physical examination, as well as, a digital rectal exam, should be conducted to rule out any other anorectal problems.


Another reason for a painful lump near anus is due to an abscess. This is caused by an obstruction to the anal glands. This can lead to infection and the development of an abscess. An abscess is a painful condition where a lump with pus appears near the anus. There are several types of anal abscesses. The most common is the perianal abscess. A red, warm, boil-like swelling is a common symptom of perianal abscess. Surgical removal is the method of treatment of an abscess. However, once the abscess is removed some patients may develop fistula. Anal fistula will require surgery. Crohn’s disease, diabetes, diverticulitis, anal sex, blocked anal glands are all common causes of an anal abscess.

Pruritus Ani

Any intense itching, burning, bumps near anus and overall discomfort can be due to pruritus ani. Pruritus ani is caused due to dry skin, faecal incontinence, excessive moisture, excessive washing, chemical irritants, anal fissures, fistulas and abrasions, yeast infection etc. Persistent need to scratch the itching area can be embarrassing. Therefore, all those affected with pruritus ani should obtain medical treatment without enduring such embarrassing discomforts. With treatment, complete relief from pruritus ani can be expected within a short time.

Pilonidal Disease

Infection of the skin in the buttock crease region resulting in bumps near anus is called pilonidal disease. This is caused by the penetration of hairs into the skin in the buttocks. This disease is common in men with more body hair than in women. Most often, pilonidal disease will result in abscesses. These bumps in the anus will be treated through draining and recurrent bumps may require surgery. Pilonidal disease symptoms vary according to each person. While some may not experience any symptoms except for the bump on the anus, others may experience certain symptoms resulting from infected and inflamed bumps. Diagnosis of the condition will be made through analysis of the symptoms and through a physical examination.

A painful lump near anus can also be due to a bug bite. Sometimes, when bitten by a bug, a bug bite hard lump may appear. These lumps will disappear after a few hours or days depending on the bug. However, any lump near anus, even a bug bite hard lump that does not go away should be examined by a doctor. Timely medication can help prevent any complications that may arise due to negligence of such symptoms.