I'm not sure if I have developed hemorrhoids?
On Friday, after using the restroom, I have been experiencing persistent pain and discomfort around my anus.
The amount of stool passed was also less than usual.
While taking a shower, I felt a small round lump in the area; pressing on it doesn't cause pain, but it seems to relieve the discomfort temporarily.
However, the pain returns, especially when sitting.
I'm not sure if I might have hemorrhoids.
Niming, 20~29 year old female. Ask Date: 2016/04/19
Dr. Cai Xingzhi reply Surgery
It is likely an acute episode of hemorrhoids; please consult a colorectal surgeon for an accurate diagnosis and treatment.
Reply Date: 2016/04/19
More Info
When it comes to anal pain and the possibility of hemorrhoids, it's essential to understand the symptoms and underlying causes to determine the best course of action. Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually do not cause pain, while external hemorrhoids are located under the skin around the anus and can be painful, especially when sitting or during bowel movements.
Based on your description, it seems you are experiencing discomfort after a bowel movement, with a notable decrease in stool volume. The presence of a "round thing" that you can feel but does not cause pain when pressed could indicate an external hemorrhoid or possibly a thrombosed hemorrhoid, which occurs when a blood clot forms in an external hemorrhoid, leading to increased pain and swelling.
Here are some common symptoms associated with hemorrhoids:
1. Pain or discomfort: This is often felt during bowel movements or when sitting.
2. Swelling: You may notice a lump near the anus, which can be sensitive or painful.
3. Bleeding: Bright red blood may appear on toilet paper or in the toilet bowl after a bowel movement.
4. Itching or irritation: The area around the anus may feel itchy or irritated.
Given that you mentioned the pain is more pronounced when sitting, this aligns with typical symptoms of external hemorrhoids. The fact that pressing on the area provides temporary relief could also suggest that the pressure is alleviating some discomfort associated with swelling.
To manage and alleviate the symptoms, consider the following recommendations:
1. Dietary Changes: Increase your fiber intake to soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.
2. Warm Baths: Soaking in a warm bath (sitz bath) for 10-15 minutes several times a day can help reduce pain and swelling.
3. Over-the-Counter Treatments: Topical treatments, such as creams or ointments containing hydrocortisone or witch hazel, can provide relief from itching and discomfort.
4. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can exacerbate hemorrhoids.
5. Cold Compresses: Applying a cold compress to the affected area can help reduce swelling and numb the pain.
If your symptoms persist or worsen, or if you experience significant bleeding, it is crucial to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly recommend further tests to rule out other conditions, such as anal fissures or more serious issues.
In conclusion, while your symptoms may suggest hemorrhoids, it is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and improve your quality of life.
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