I have a j-pouch with NO rectum left. I just developed a painful lump very near to the opening of my anus. Could it be an internal hemorrhoid, with NO rectum. It hurts like hell, all the time, including when I go to the bathroom, or just sitting in a chair, and I'd like to know how to treat it, whether it is a hemorrhoid or not!
You can have internal hemorrhoids in the anal canal. Painful (and painless) lumps are frequently hemorrhoids. I had one a month or two ago, and it's gone now.
Painful lumps can also be other things, like abscesses and fistulae. A warm sitz bath would be fine for any of these things. You get to decide if/when to ask your doctor to take a look. I was lucky enough to have an appointment scheduled for other reasons (though the other reasons weren't lucky at all).
