मेरे गुदा से एक नरम गांठ बाहर आ रही है, क्या इसे इलाज की जरूरत है?

Question #30708

3 days ago

मेरे गुदा से एक नरम गांठ बाहर आ रही है, क्या इसे इलाज की जरूरत है?

Client_c7f8a1

हेलो डॉक्टर। मैं 25 साल का हूँ। पिछले कुछ महीनों से मैंने देखा है कि मेरे गुदा से एक नरम गांठ/ऊतक बाहर आ रहा है। यह त्वचा पर गांठ होने के बजाय अंदर से आता हुआ लगता है। यह आमतौर पर मटर के आकार का होता है, कभी-कभी बड़ा भी हो जाता है। मैं इसे धीरे से अंदर धकेल सकता हूँ, और यह कुछ घंटों के लिए अंदर रहता है, लेकिन फिर इसका कुछ हिस्सा फिर से बाहर आ जाता है। कभी-कभी हल्का दर्द होता है लेकिन कोई खून, बुखार, मवाद, वजन घटने या तेज दर्द नहीं है। मुझे ज्यादा कब्ज भी नहीं है। क्या यह बाहर निकलता हुआ बवासीर (पाइल्स) हो सकता है या हल्का रेक्टल प्रोलैप्स? क्या इसे इलाज की जरूरत है या सिर्फ निगरानी करनी चाहिए?

How long have you been experiencing this lump?:

- More than 6 months

How would you describe the pain associated with this lump?:

- Mild pain

Does the lump come out during specific activities?:

- During bowel movements

Have you noticed any changes in bowel habits?:

- Normal

Do you have any family history of hemorrhoids or rectal issues?:

- No known history

Have you tried any treatments or home remedies for this issue?:

- No, this is the first time seeking help

How would you rate your overall stress level?:

- Very high

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

2 days ago

A small soft tissue that comes out from inside the anus during bowel movements, can be pushed back in, and then gradually protrudes again is more suggestive of a prolapsing internal hemorrhoid (internal pile) than a full rectal prolapse. Internal hemorrhoids commonly protrude during bowel movements and may require manual reduction as they enlarge. A mild mucosal or rectal prolapse is another possibility, but these are usually diagnosed by examination because the distinction can be difficult based on symptoms alone. The absence of bleeding, significant constipation, fever, pus, weight loss, severe pain, or major bowel habit changes is reassuring and makes serious conditions less likely. Since the problem has been present for more than 6 months, it would be reasonable to have an examination by a doctor, preferably a colorectal surgeon or gastroenterologist, who may perform a simple visual examination and possibly anoscopy to confirm the diagnosis.In the meantime, maintaining soft stools with adequate water, dietary fiber, avoiding straining, and limiting prolonged sitting on the toilet may help reduce prolapse. Overall, this sounds more like a reducible prolapsing hemorrhoid or mild prolapse than an emergency, but persistent symptoms generally warrant a professional assessment to determine whether observation, medical treatment, or a minor procedure is appropriate.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

2 days ago

Hello
Based on your description, the most likely causes are a prolapsing internal hemorrhoid (pile) or a mild mucosal/rectal prolapse. The fact that the tissue comes out during bowel movements, can be gently pushed back inside, and causes only mild discomfort without bleeding, fever, or significant pain makes these conditions more likely than something more serious.
A prolapsing internal hemorrhoid typically appears as soft tissue that protrudes during or after a bowel movement and may retract on its own or require manual reduction. Mild rectal prolapse can present similarly, especially when the tissue seems to originate from deeper inside the rectum.
Although your symptoms do not suggest an emergency, the problem has been present for more than 6 months, so an in-person examination by a colorectal surgeon or general surgeon would be advisable to confirm the diagnosis. Treatment depends on the cause and severity. Mild cases are often managed conservatively with:
* Adequate fluid intake
* A high-fiber diet or fiber supplements
* Avoiding straining and prolonged sitting on the toilet
* Regular physical activity
If the tissue continues to prolapse, becomes larger, bleeds, causes increasing pain, or affects continence, office-based procedures or surgical treatment may be considered.
Seek prompt medical attention if you develop severe pain, heavy bleeding, inability to push the tissue back in, fever, or significant changes in bowel habits.
Overall, this does not sound dangerous based on the information provided, but because it is persistent, a physical examination is recommended to distinguish between a prolapsing hemorrhoid and rectal prolapse and to determine whether treatment is needed.
Take care

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

2 days ago

Hello
Thanks for describing your symptoms so clearly. Based on what you’ve shared—a soft, pea-sized lump that comes out from the anus, can be pushed back in, sometimes gets bigger, and is only mildly painful with no bleeding or other concerning symptoms—the most likely cause is a prolapsing internal hemorrhoid (also called a pile).
### Why This Is Most Likely a Prolapsing Hemorrhoid
- Comes out during/after bowel movements or straining, can be pushed back in
- Soft, sometimes larger, not fixed to the skin
- Occasional mild pain, but no severe pain, bleeding, or infection
- No significant constipation or other red-flag symptoms
A mild rectal prolapse is less likely at your age and with your description, as rectal prolapse usually involves a larger segment of the rectal wall and is more common in older adults or those with chronic constipation.
### What You Can Do
- Observation is reasonable if symptoms are mild and not worsening.
- Lifestyle changes: Increase fiber and water intake to keep stools soft and avoid straining.
- Sitz baths: Sitting in warm water for 10–15 minutes can help with discomfort.
- Avoid prolonged sitting on the toilet.
- Topical creams: Over-the-counter hemorrhoid creams may help with irritation (ask your doctor before use).
### When to See a Doctor
- If the lump becomes very painful, swollen, or hard (could be a thrombosed hemorrhoid)
- If you develop bleeding, pus, fever, or severe pain
- If the lump cannot be pushed back in or stays out all the time
- If symptoms worsen or interfere with daily life
A doctor (preferably a general surgeon or proctologist) can confirm the diagnosis with a simple examination and suggest further treatment if needed. Most mild cases can be managed conservatively, but persistent or bothersome prolapse may need minor procedures.
Thank you

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

2 days ago

Hello dear
See as per clinical history it seems hernia or cyst
Differential diagnosis includes haemorrhoids or fibroma
I am suggesting some tests for confirmation of exact diagnosis and best treatment
Please share the result with gastroenterologist or general physician medicine for better clarity and for safety please donot take any medication without consulting the concerned physician
Serum ferritin
Serum RBS
Stomach USG
Urine analysis
Rft
Lft
Culture
Endoscopy
Anascopy if recommended by gastroenterologist
Rectal physical examination
Esr
Cbc
Hopefully you recover soon
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

2 days ago

Hello, Based on your description, the most likely possibility is a prolapsing internal hemorrhoid (internal pile), although a small mucosal or rectal prolapse is also possible.
The features that point toward a prolapsing hemorrhoid are:
A soft tissue lump that comes out during bowel movements
Can be gently pushed back inside
Reappears after some time
Mild occasional discomfort
No significant bleeding, pus, fever, or weight loss
Symptoms present for several months
A Grade III internal hemorrhoid often behaves exactly this way, it protrudes during or after a bowel movement and can be manually pushed back in. A mild rectal prolapse is less common at your age but can produce similar symptoms. In rectal prolapse, the protruding tissue is usually more circumferential and may feel like a fold or ring of tissue rather than a discrete lump.
What should you do?
I would recommend a consultation with a general surgeon or colorectal surgeon for a physical examination. In many cases, the diagnosis can be confirmed with:
Visual examination
Digital rectal examination
Anoscopy/proctoscopy if needed
Meanwhile
Avoid straining during bowel movements.
Drink adequate water.
Ensure sufficient dietary fiber (fruits, vegetables, whole grains).
Avoid prolonged sitting on the toilet.
Regular physical activity may help bowel function.
Does it need treatment?
Not necessarily urgently, but since:
It has persisted for more than 6 months,
Continues to protrude,
Requires manual reduction,
it is worth having it evaluated rather than simply observing it indefinitely.
Treatment depends on the diagnosis and severity and may range from conservative measures to office-based procedures such as rubber band ligation if it is a hemorrhoid.
Seek medical attention sooner if you develop:
Significant bleeding
Severe pain
A lump that cannot be pushed back in
Fever, pus, or worsening swelling
Overall, from your description, this sounds much more like a prolapsing internal hemorrhoid than anything dangerous, but an examination is needed to distinguish it from a mild rectal prolapse and determine whether treatment would be beneficial.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

1 day ago

A soft lump protruding from the anus could potentially be a prolapsing hemorrhoid or a mild rectal prolapse, both of which present similarly. Based on your description, it sounds like you might be dealing with internal hemorrhoids that prolapse. Internal hemorrhoids originate inside the rectum and can enlarge to the point where they protrude outside the anus, often receding on their own or with gentle manipulation, as you’ve noticed. Mild rectal prolapse is another possibility where a part of the rectum itself slips outside the anus due to weakened supporting muscles, but this tends to be less common in younger adults without prior predisposing factors. Even though you aren’t experiencing significant symptoms like bleeding or intense pain, it’s worth addressing. A prompt evaluation from a healthcare provider can clarify which condition you might have.
For treatment, if hemorrhoids are confirmed, lifestyle modifications are a good starting point. Ensuring a high fiber diet, adequate hydration, and possibly using a fiber supplement can help prevent straining during defecation, reducing the episode’s frequency and severity. Warm sitz baths could provide some symptom relief, as well. If you identify triggers or activities that aggravate it, modifying these may also be beneficial. In more persistent or troublesome cases, medical treatments like rubber band ligation or sclerotherapy for hemorrhoids, or surgical options if it’s rectal prolapse, can be considered. Remember, if you start experiencing new symptoms like significant bleeding, changes in bowel habit, sudden severe pain, or systemic symptoms, it’s crucial to seek medical attention quickly as these could indicate more serious conditions that require immediate treatment. Consulting with your primary care provider or a specialist in gastroenterology or colorectal surgery will give a tailored approach based on the exact diagnosis and severity.

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