I've been searching to see if anyone else on here has had a similar symptom, so thought I'd start a new thread - particularly should anyone in future come searching for similar symptoms.
For the past four weeks, I've felt - intermittently - as if there was something in my anal canal low down.
A GP saw me yesterday and did a DRE (Digital Rectal Examination - with finger) and she felt a small hard lump up my rectum and has put me on the cancer pathway to get it looked at by a colorectal consultant (not anal cancer department, I noticed on her referral letter which I found in my NHS App).
I will update as I go along in case anyone else searches for a similar symptom.
I thought the sensation of the lump in my anal canal was to do with my vaginal atrophy and was possibly a rectocele forming, so was I shocked when she did a cancer referral.
So it's the waiting game for me now - for appointment and results. Expecting the worst, but hoping for the best.
I should add I recently did a QFiT test which came a couple of weeks ago which back normal last week (I had a diverticular flare-up in March) - though reading some of the other threads a normal QFiT test doesn't always mean anything, though I guess it's a bit reassuring.
I had a colonoscopy in 2022 as a QFiT test back then showed blood in sample, and some polyps were taken away and some were sent for analysis (which came back normal).
At the moment, I have no bleeding or pain, and no CHIB (change in bowel habits - at the moment well-formed stools 2-3 times a day, depending on how big my meals have been) - just this strange sensation in my anal canal low down which comes and goes, though the GP put on her referral letter it was at the back left. (When I logged into my NHS App I could see her referral letter and she marked it on the Macmillan Safety Net criteria as that she was "Unsure it is cancer and could have other causes").
After the appointment when I got home, I put on a glove with lube and felt and I could see what she meant. A small hard lump about a finger length up (though to me it felt in the middle, not back left. I'm guessing nothing at all should be felt inside the rectum).
In 2017 I had three 'In Situ" melanomas removed, so I think my surgery take that into account, hence the referral.
I will update in due course.
Hi BrumDog and a warm welcome to the bowel page. Thankyou for your post - as you say it is always helpful for others searching for similar situations. The waiting game is tough but hopefully you will get an appointment through soon and be thoroughly checked out. It may well be a polyp particularly as you have had some removed in the past but always good to get a professional opinion
Please let us know how you get on?
Take care
Karen x
I have been given a face-to-face appointment with a colorectal consultant on 10th July. I will update further after that.
I was surprised as, even though the lump is low down to be felt by finger, I was expecting to have another colonoscopy or sigmoidoscopy so that the lump could be seen through a camera, so I guess I'll just have to wait and see.
(Also the wording the Dr used in my referral letter was "small firm lump" (not "hard lump") - not sure if that makes any difference, maybe the language used isn't that significant).
Thank you.
It was nothing! The colorectal consultant did a rectal exam (with finger) and looked up with a proctoscope and couldn't see anything suspicious- he thought it might have been a haemorrhoid that had possibly burst and disappeared.
However, I still have ongoing rectal problems but it is a gynae issue, possibly a rectocele. My Women's Health Physio is organising an MDT (multi-disciplinary team) meeting about my case in January.
I hope that helps and all will be well with you.
Thank you for the quick response!
Glad it was nothing :).
Yeach, I noticed a very small hard lump inside the rectum, approx 0.5cm inside, very easy to reach. It’s not painful and feels like is on the wall, on the right side. I’d say the size of a rice grain! Haven’t really noticed bleeding or anything like that, but having had IBS issues for a long time and being a total hypochondriac doesn’t help, as you can imagine.
ill give it a few weeks before I contact the gp (just did a whole lot of checks back in March because of my ongoing IBS symptoms and everything came back normal, doctor didn’t feel I needed a colonoscopy).
thanks again!
You're very welcome, it is always a concern. I didn't have any bleeding, though i also have had IBS and I also have Diverticular Disease. It was also something of a reassurance (if you look on the MacMillan info about cancer) that for every cancer pathway referral, nine out of ten are not cancer.
But if it doesn't go away or gets bigger then always best to get it checked out. I suffer with health anxiety too, and it's not easy to manage at times!
Absolutely! Will keep an eye and then eventually decide what to do. Don’t want to start panicking (just yet!).
Health anxiety is no joke, if you don’t already, I would recommend some talking therapies. I’ve managed to get that through the NHS and it has somewhat helped me, but you have to put in the work .
What I have come to realize is that a health anxious person is always more aware of anything going on in the body, which makes a lot of sense when it comes to these things.
Thank you yes, I think with health anxiety comes a heightened body awareness which isn't always helpful, but then again can help us be aware of potential problems, and also enable us to take control of our health.
Yes I've had some talking therapy - my local NHS is very good with mental health support for various conditions. I just wish the NHS was as good with other areas (for me as a woman with prolapse, that includes women's pelvic health and treatment for prolapse which is absolutely appalling at the moment - such very long wait times, but because it's not a "life-threatening" condition, we are bottom of the pile and an abandoned cohort - basically its health inequality as women's problems in that area are not funded well at all).
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