What causes a mass or lump coming out of the anus?

Dear Rohtash ji,

Aapne jo bataya hai ki guda/anal area se “mass jaisa kuch bahar aa raha hai”, usse ghabrane ki zarurat nahi hai, lekin bina examination ke ye confirm nahi kiya ja sakta ki exactly kya hai. Iska common reason piles ho sakta hai, lekin rectal prolapse, anal fissure ke saath swelling, skin tag ya koi doosri problem bhi ho sakti hai. 

Ye kya ho sakta hai?

Sabse common possibility piles (bawasir) ki hoti hai. Piles mein anus ke aas-paas ki veins mein swelling ho jaati hai aur kabhi-kabhi andar ki piles potty karte waqt bahar nikal sakti hai. Iske saath bleeding, itching, pain ya lump jaisa mehsoos ho sakta hai. 

Ek aur possibility rectal prolapse hai, jisme rectum ka kuch hissa anus ke bahar aa sakta hai. Isme reddish/pink mass bahar dikh sakta hai aur potty ke baad bhi bahar reh sakta hai. 

Isliye sirf mass dekhkar ise piles maan lena sahi nahi hoga.

Iska treatment kya hota hai?

Treatment is baat par depend karta hai ki mass kis wajah se aa raha hai.

Agar piles hain, to shuruat mein doctor constipation control karne, fibre badhane, paani peene aur toilet mein zyada zor na lagane ki advice de sakte hain. Kuch cases mein medicines, creams ya other treatments ki zarurat pad sakti hai. 

Agar piles baar-baar bahar aa rahi hain, bleeding ho rahi hai ya medicines se improvement nahi ho raha, to doctor rubber-band treatment, injection treatment ya other procedures suggest kar sakte hain. Bahut bade ya severe piles mein operation ki zarurat bhi ho sakti hai. 

Agar rectal prolapse hai, to iska treatment piles se alag hota hai aur doctor ki examination zaroori hoti hai.

Abhi ghar par kya precautions rakhein?

• Potty karte waqt zyada zor na lagayein.

• Toilet par bahut der tak na baithein.

• Constipation na hone dein.

• Fibre-rich food jaise fruits, vegetables, whole grains aur salad diet mein badhayein.

• Paani paryapt quantity mein piyein, agar doctor ne fluid restriction nahi di hai.

• Guda/anal area ko gently clean karke dry rakhein.

• Heavy weight lifting filahal avoid karein.

• Mass ko khud se kaatne, dabane, puncture karne ya andar forcefully push karne ki koshish na karein.

Doctor ko kab dikhana zaroori hai?

Aapko General Surgeon ya Proctologist/Colorectal Surgeon ko dikhana chahiye, especially agar mass baar-baar bahar aa raha hai.

Doctor examination karke dekh sakte hain ki ye piles, prolapse, fissure, skin tag ya koi aur problem hai. Zarurat padne par anus/rectum ki further examination bhi ki ja sakti hai. 

Kab turant medical help leni chahiye?

Agar:

• bahut zyada bleeding ho

• bleeding ruk na rahi ho

• bahut tez pain ho

• mass bahar aane ke baad andar wapas na ja raha ho

• fever ke saath pain/swelling ho

• pus aa raha ho

• chakkar, weakness ya behoshi jaisa feel ho

to delay na karein aur urgent medical care lein.

Aap tension mat lijiye. Aisi problem common hai aur iska treatment available hai. Lekin kyunki aapne specifically “mass” bahar aane ki baat batayi hai, ek baar doctor se proper examination karwana sabse safe rahega.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth