What Causes Painful Bumps On The Rectum?

Posted on Thu, 19 Jan 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 19 Jan 2017 Answered on

Mon, 13 Feb 2017 Last reviewed on

Question : Hello about Saturday of this week that has just passed I did a number 2 and wiped myself several times to make sure that area was clear. On Sunday there were two bumps one on the crack and another one right beside it. They where not on the anus but a bit above. On Monday the one on the crack bust open and it look like a open sore. On Tuesday the other one opened. They were painful and then itchy. But now it's a bit sore. There has been no puss or crust that I can see as of yet. I also have pictures.

Answered by Dr. Endri Katro (36 minutes later)

Brief Answer:
Fistula most likely

Detailed Answer:
Hi,

Please provide the photos of it. It would help me to give a proper diagnosis greatly.

The bumps that you describe probably are hemorrhoids or a fistula.

Both of these can be treated appropriately. So please send me the pictures here (you can simply upload/attach them at the reports section of this web-page) or to my email address below and i will be able to be sure about your problem.

Awaiting....

Dr.Endri Katro

YYYY@YYYY

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Endri Katro (45 minutes later)

Ok got your email so what is a fistula?

Answered by Dr. Endri Katro (18 minutes later)

Brief Answer:
Fistula

Detailed Answer:
Hello,

I saw the photos and i might say it is a fistula. A fistula (as in your case), is an abnormal communication between your skin and an infection process that has happened under your skin (but it might happen between your skin and an organ).

Now depending from the position it might be an anal fistula (it is a communication between your skin and your anus or rectum) or it might be a pilonidal sinus. It is a sinus tract which commonly contains hairs. It occurs under your skin between your buttocks.

In both cases, the only way to be treated is through surgery. You need to consult a surgeon and get the corrective surgery done. Don't worry it can be treated easily and it is a benign pathology.

If you have any further questions, please feel free to ask me.

Wishing you all the best.

Dr.Endri Katro

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Endri Katro (23 minutes later)

Ok how long will it take to heal or will it heal on its own. I was looking online and all that I was seeing was herpes which was very scary to me. So I can deal with anything other than that. Lol

How do you get a fistula?

Answered by Dr. Endri Katro (5 minutes later)

Brief Answer:
Confirm the diagnosis

Detailed Answer:

Hello.

I will explain how a fistula is formed:

1- In the case of pilonidal fistula: Fragments of hair become 'stuck' in your skin and they irritate it and cause inflammation. After some time this inflammated tissue gets infected and causes the sinus to develop. It will start spreading in the tissue around it. It might go deeper or in most of the cases it starts to communicate with a skin and creating a fistula. Since the reason of all this process is deep in the skin (hair in this case) it will never heal on it's own. So surgery is needed.

2- In the case of anal fistula: It is formed after an anal abscess. This kind of fistula causes persistent drainage. It is a communication between your skin and rectum or anus. It is formed when an anal abscess drains in the skin.

Now according to the photos, in my opinion it is a fistula. It will not heal on it's own. It might get a bit better but after some time (usually after some weeks or even months), it will create the similar symptoms.

If diagnosis is confirmed by physical examination by a surgeon, then surgery is the only option to get it fully treated.

Regards

Dr.Endri Katro

Above answer was peer-reviewed by : Dr. Arnab Banerjee