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Anal skin tags can result from hemorrhoids or healing anal fissures. Various health conditions and infections can cause a hard lump to appear on the anus. They start as small bumps that may be no larger than the head of a pin.   anal abscess, fissures, anal warts, prolapsed piles are easily diagnosed on examination. There may be other symptoms that accompany the rectal and anal symptoms this depends on the underlying cause and the disorders. An anal, or rectal, abscess occurs when a cavity in the anus becomes filled with pus. It causes extreme pain, fatigue, rectal discharge, and fever. Anal cancer is a cancer which arises from the anus, the distal opening of the gastrointestinal tract. Symptoms may include bleeding from the anus or a lump near the anus. Other symptoms may include pain, itchiness, or discharge from the anus. Any injury, lump, abscess, or fecal impaction in the anal canal can result in severe pain leading to infection. The patients clinical history plays an important role in making the correct diagnosis. This is because lumps do not usually appear suddenly, but are rather the result of an undiagnosed mild gastrointestinal disorder , like chronic constipation. Anal cancer is a disease in which malignant (cancer) cells form in the tissues of the anus. Most anal cancers are related to human papillomavirus (hpv) infection. Signs of anal cancer include bleeding from the anus or rectum or a lump near the anus. Tests that examine the rectum and anus are used to diagnose anal cancer. These include an anal fissure, a tear in the anal canal, that becomes. The symptoms of anal cancer are often similar to more common and less serious conditions affecting the anus, such as piles (haemorrhoids) and small tears or sores called anal fissures.

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