External Hemorrhoids: Symptoms, Treatment, and Concerns - Surgery

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Hello! It sounds like you're experiencing some discomfort related to external hemorrhoids, which can be quite common, especially among young adults. Let's break down your concerns regarding symptoms, treatment options, and what you might expect moving forward.


Understanding External Hemorrhoids
Symptoms:
External hemorrhoids are swollen veins located around the anus. They can cause a variety of symptoms, including:
- Bleeding: This often occurs during bowel movements, especially if you're experiencing constipation or straining.

- Pain or Discomfort: You mentioned experiencing mild pain, which is also a common symptom.

- Itching or Irritation: The area may feel itchy or irritated.

- Swelling: You may notice a lump or swelling around the anus, which could be what you referred to as an "external mole."

Treatment Options
1. Dietary Changes: Since you mentioned having constipation, increasing your fiber intake can help soften your stool, making it easier to pass. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated is also crucial.

2. Warm Baths: Soaking in warm water (sitz baths) can relieve discomfort and help reduce swelling. This is a method your Chinese medicine practitioner recommended, and it can be quite effective.

3. Over-the-Counter Treatments: While your practitioner suggested not using ointments, many people find relief with over-the-counter hemorrhoid creams or suppositories that contain hydrocortisone or witch hazel. These can help reduce inflammation and discomfort.

4. Avoid Straining: When using the bathroom, try to avoid straining, as this can exacerbate the problem. If you're having difficulty, consider using a stool softener or a fiber supplement.

5. Surgical Options: In more severe cases, or if the hemorrhoids do not respond to conservative treatments, surgical options may be considered. This includes procedures to remove the hemorrhoids or to cut off their blood supply.


Concerns About the "External Mole"
The "external mole" you mentioned is likely the external hemorrhoid itself. It's important to note that while external hemorrhoids can be uncomfortable and may not disappear on their own, they are generally not dangerous. They can sometimes reduce in size or become less symptomatic with proper care.

- Should You Remove It? Surgical removal is typically reserved for cases where the hemorrhoids are causing significant pain or complications. If your symptoms are manageable, you may not need to consider surgery at this time.

- Pushing It Back: It's generally not advisable to try to push hemorrhoids back into the rectum. This can cause further irritation or injury. Instead, focus on managing symptoms through the methods mentioned above.


Emotional Impact
It's understandable that dealing with this condition can affect your mood and self-esteem. Many people feel embarrassed or anxious about hemorrhoids, but remember that they are a common issue. If you find that your emotional well-being is significantly impacted, consider speaking with a counselor or therapist who can help you navigate these feelings.


Conclusion
In summary, while external hemorrhoids can be bothersome, there are effective management strategies available. Focus on dietary changes, warm baths, and over-the-counter treatments to alleviate your symptoms. If your condition worsens or does not improve, it may be worth seeking further medical advice, even if it means looking into more affordable healthcare options. Remember, you're not alone in this, and many people experience similar issues. Take care!