Is It Hemorrhoids? Symptoms and When to Seek Help - Surgery

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Is it hemorrhoids?


Hello Doctor: Yesterday I experienced abdominal pain and had to exert a lot of force to have a bowel movement.
Later, while showering, I noticed a small, round protrusion near my anus, but it is not painful! Additionally, there was no blood when I used the restroom.
Therefore, I would like to ask if I need to go to the hospital for examination and treatment? Also, is this an internal hemorrhoid or an external hemorrhoid?

Niming, 20~29 year old female. Ask Date: 2016/04/10

Dr. Ke Fangxu reply Surgery


This situation is likely indicative of thrombosed external hemorrhoids.
As long as there is no pain or bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help alleviate symptoms.
You can purchase over-the-counter hemorrhoid suppositories for use.
It is best not to take stool softeners indiscriminately; at this age, increasing dietary fiber and hydration should be sufficient.
If symptoms do not improve, it is advisable to consult a physician for evaluation.

Reply Date: 2016/04/10

More Info


When it comes to the symptoms you're describing, it’s important to understand the nature of hemorrhoids and when to seek medical attention. Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding. They can be classified into two types: internal and external hemorrhoids.

Internal hemorrhoids are located inside the rectum and are usually not visible or felt unless they protrude through the anal opening (a condition known as prolapse). They typically do not cause pain because there are fewer pain-sensing nerves in the rectal area. However, they can cause bleeding during bowel movements, which is often bright red blood on the toilet paper or in the stool.

External hemorrhoids, on the other hand, are located under the skin around the anus. They can be painful, especially if a blood clot forms in them, leading to a condition known as thrombosed hemorrhoids. Symptoms of external hemorrhoids include pain, swelling, and sometimes bleeding.

In your case, you mentioned that you experienced abdominal pain and noticed a small, non-painful bump near your anus after straining during a bowel movement. The absence of bleeding is a positive sign, but the presence of a lump could indicate either an external hemorrhoid or a thrombosed hemorrhoid, especially if it appeared suddenly after straining.

Here are some considerations regarding your situation:
1. Observation: If the bump remains small, does not cause pain, and there are no other symptoms such as bleeding or significant discomfort, you might consider monitoring it for a few days. Sometimes, hemorrhoids can resolve on their own with conservative measures.

2. Diet and Hydration: Ensure you are consuming a high-fiber diet and staying well-hydrated to prevent constipation, which can exacerbate hemorrhoids. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

3. Over-the-Counter Treatments: You may find relief from over-the-counter topical treatments designed for hemorrhoids, which can help reduce swelling and discomfort.

4. When to Seek Help: It is advisable to seek medical attention if:
- The bump increases in size or becomes painful.

- You experience bleeding during bowel movements.

- You have persistent abdominal pain or changes in your bowel habits.

- You notice any other unusual symptoms, such as fever or significant discomfort.

5. Diagnosis: A healthcare provider can perform a physical examination to determine whether you have hemorrhoids or another condition, such as a skin tag or a different type of growth. They may also recommend additional tests if necessary.

In conclusion, while your symptoms may suggest hemorrhoids, it’s essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. They can provide guidance tailored to your specific situation and help alleviate any concerns you may have. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out for medical advice if you feel uncertain.

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