Discussions By Condition: I cannot get a diagnosis.

Lump appeared seemingly overnight

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: qwerty12345
  • January 20, 2008
  • 07:45 PM

First some background:
I am male, 26, regular smoker, occasional drinker, athletic and regular exerciser. I am not currrently taking any medications, nor have I in the last few years. Family history includes diabetes, heart disease, stroke, lung and prostate cancer.

Approximately 1 year ago I started having occasional blood in my stool. During this year diarrhea has come and gone with high frequency.

I travel often for work, and this usually upsets my body for a week afterwards between the jetlag and adjusting to the local diet. Therefore, at first I discounted the increased frequency of diarrhea as a symptom until it started persisting longer each time.

Severity of the blood in stool has rised and fallen over this time. I have never had blood in the underwear, though often on toilet paper, and anal itching affects me occasionally.

I got scared into action last week when I noticed a hardened lump between the anus and the scrotum. This lump seemed to appear overnight, without cause, and I do not know if it is related to the anal bleeding or diarrhea.

Over the last week its firmness has seemed to decrease though not its size. It does not hurt, and is normally unnoticeable, though it is very sensitive when wiped with toilet paper.

There are no other symptoms which I have noticed. I have occasional joint stiffness, congested nose, and increased sleep apnea, but I don't believe any of them to be connected with this.

I intend to see a doctor immediately for a diagnosis when I return to my country of residence next week, but this has me very worried and I would like to hear the opinions of this forum.

Any questions, post here and I will answer them. Any feedback is welcome. Thanks.

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5 Replies:

  • May be perianal abscess. Can resolve themselves ( this might account for blood/pus) or may be lanced as outpatient & you will be given antibiotics & take sitz baths for a few days. They usually come back if they resolved themselves & even after lancing. Many of them will result in a fistula which is also a same-day surgery situation with followup the same as the lancing.
    Anonymous 42,789 Replies
    • January 21, 2008
    • 00:35 AM
    • 0
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  • your smoking doesn't help your situation. It will need to be bisopsied..could be syphilis, herpes2, htlv if in Japan or just a nasty cyst...you'll need blood work for all of those and more lab work...make sure you get this treated asap.
    Monsterlove 2,921 Replies
    • January 21, 2008
    • 03:07 AM
    • 0
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  • your smoking doesn't help your situation. It will need to be bisopsied..could be syphilis, herpes2, htlv if in Japan or just a nasty cyst...you'll need blood work for all of those and more lab work...make sure you get this treated asap.Just wondering how you went with the followup of this... I have exactly the same symptoms including the lead of diahorreoa and occasional blood for up for a about a year...then the sudden lump!Would be very interested to know how you get on?I have made an appointment for next week.
    Anonymous 42,789 Replies
    • January 11, 2010
    • 00:49 AM
    • 0
    Flag this Response
  • I am in the midst of the same situation, though mine differs in that I haven't experienced bleeding nor diarrhea. The mass is cigar-shaped, about 1~2" in length and best i can tell has a diameter of around 3/8" (in the middle; it's smaller around on both ends).I don't experience any pain from it, though it is large enough that the whole area feels a little crowded. I've had an abcess in my armpit, but it disappeared (or at least shrunk to an undetectable size) before I had a chance to act on it. The armpit abcess did make walking, sometimes even letting my arm hang straight down, moderately painful (felt like a small pinch or pulled-hair). This new one doesn't hurt...yet...but if pain begins I'm afraid it may hinder my interest - if not my ability - in walking.I'd be happy if anyone could let me know the medical specialty this falls under (dermatology I believe). My family doctor won't do anything other than refer me to a specialist, and I don't need his referral for my insurance to cover specialist visits so I'd like to get right to the source!Thanks!
    Anonymous 42,789 Replies
    • February 26, 2011
    • 03:00 AM
    • 0
    Flag this Response
  • This sounds very much like Hidradenitis suppurativa, this is a skin disorder where the sweat glands get blocked with bacteria and cause abscesses and boils. Hormonal changes, stress, and excessive sweating seem to be the cause of this disorder. Antibiotics will be the solution for this problem, but not just any antibiotics. A check up to see which kinds of bacteria is causing this will determine which antibiotic you'll be prescribed. I am in the midst of the same situation, though mine differs in that I haven't experienced bleeding nor diarrhea. The mass is cigar-shaped, about 1~2" in length and best i can tell has a diameter of around 3/8" (in the middle; it's smaller around on both ends).I don't experience any pain from it, though it is large enough that the whole area feels a little crowded. I've had an abcess in my armpit, but it disappeared (or at least shrunk to an undetectable size) before I had a chance to act on it. The armpit abcess did make walking, sometimes even letting my arm hang straight down, moderately painful (felt like a small pinch or pulled-hair). This new one doesn't hurt...yet...but if pain begins I'm afraid it may hinder my interest - if not my ability - in walking.I'd be happy if anyone could let me know the medical specialty this falls under (dermatology I believe). My family doctor won't do anything other than refer me to a specialist, and I don't need his referral for my insurance to cover specialist visits so I'd like to get right to the source!Thanks!
    Anonymous 42,789 Replies
    • August 15, 2011
    • 07:26 AM
    • 0
    Flag this Response
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