Anal lump

My name is Gail and I’m one of the cancer information nurses on the Macmillan Support Line.

We understand that discovering a hard, smooth lump inside your rectum can be unsettling, and it's natural to feel anxious about what this might mean. Your GP's decision to refer you urgently is a proactive step to ensure you receive timely evaluation and care.​

I’m glad you reached out as while it's natural to fear the worst, there are several possible explanations for the lump you've noticed. It’s possible your lump is Haemorrhoid’s, and these are swollen veins in the rectal area. External haemorrhoids can appear as hard lumps near the anus and may not always bleed. ​Perineal Haematoma is another possibility. This occurs when a blood vessel near the anus ruptures, leading to a localized collection of blood. It can present as a hard lump and is often mistaken for a haemorrhoid. ​.

Anal warts can also appear as lump. Although less common, anal cancer can present as a hard lump. Other symptoms might include anal pain, bleeding, or changes in bowel habits.​Although you mentioned some flatulence and mucous, and it’s important we gain further clarity, it’s reassuring to hear there is no blood present.

I understand that waiting for medical evaluations can be challenging, and it's natural to experience feelings of uncertainty and anxiety during this time. It's reassuring that you've already consulted your GP and have an urgent referral in place. The specialist will conduct a thorough examination and may recommend additional tests, such as imaging or a biopsy, to determine the nature of the lump. In the meantime, keeping track of any new symptoms or changes, such as bleeding, pain, or alterations in bowel habits, and inform the specialist during your consultation.

Remember, you don't have to cope with these feelings on your own. Discussing your concerns with trusted friends or family members can provide emotional support during this period. Many people find the online community is a safe, confidential space to share their feelings and if you think talking might help, please never hesitate to reach out.

At Macmillan Cancer Support, we understand the emotional toll that health concerns can bring. Although you don’t have a cancer diagnosis, it’s natural to worry about this. Your GP has proactively ensured that you will be assessed by the appropriate specialists soon but we fully understand the wait is extremely difficult. We want you to know that you’re not alone.

We’re here to support you until you have more clarity about your health, and we understand how difficult this period of uncertainty can be.

If it’s easier, you’re welcome to post on this platform, but please note that our responses may take up to 48 hours. If you need a more urgent reply, you can speak directly with our nurses via webchat or phone. Sometimes, talking things through can really help, and you’re welcome to do so anonymously if that feels more comfortable.

I hope this information reassures you and helps you feel supported, but please don’t hesitate to reach out if you have any further questions.          ref; amcg/hc

Take care,