Is It Hemorrhoids? Anal Pain and Symptoms - Surgery

Share to:

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.

Similar Q&A

Understanding Anal Pain: Could It Be Hemorrhoids?

Recently, I have been experiencing sudden anal pain that lasts about 2 to 3 seconds. When I touch the area around the anus, it feels a bit hard, and occasionally there is blood during bowel movements, which can also be painful. Could this be hemorrhoids?


Dr. Ke Fangxu reply Surgery
Answer: It is impossible to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. It is advisable to consult a doctor to avoid delays in treatment that could worsen the c...

[Read More] Understanding Anal Pain: Could It Be Hemorrhoids?


Is Anal Pain with Bleeding a Sign of Hemorrhoids?

Recently, I have been experiencing pain in my buttocks when using the restroom, and I've noticed a little blood when wiping. I also found a lump near my anus while showering. Could this be hemorrhoids?


Dr. Chen Qifeng reply Gastroenterology and Hepatology
The likelihood of hemorrhoids is very high, and there is even a chance of concurrent anal fistula. Please consult a colorectal surgeon. Wishing you good health.

[Read More] Is Anal Pain with Bleeding a Sign of Hemorrhoids?


Understanding Anal Pain: Symptoms and Causes After Hemorrhoids

Recently, I had a hemorrhoid that was swollen and protruding, but it has now mostly resolved, leaving just a small remnant. However, I experience pain when I exert myself during bowel movements, cough, or walk. The pain is not sharp or tearing. What could these symptoms indicate?


Dr. Ke Fangxu reply Surgery
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be potential issues. It is advisable to consult a physician to avoid delays in ...

[Read More] Understanding Anal Pain: Symptoms and Causes After Hemorrhoids


Understanding Anal Pain: Is It Hemorrhoids or Something Else?

Hello, doctor. I have recently noticed a sharp pain near my anus, rather than swelling, which is particularly noticeable when walking. There are no significant abnormalities during bowel movements, and there is no bleeding; I also did not find any blood when wiping. However, my s...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Narrow stools, a sharp pain during bowel movements, skin issues around the anus, anal itching, anal fissures, hemorrhoids (internal and external), and tumors are all possible conditions. It is recommended to consult a colorectal surgeon for an examination. Wishing you good health...

[Read More] Understanding Anal Pain: Is It Hemorrhoids or Something Else?


Related FAQ

Anal Pain

(Surgery)

Hemorrhoids

(Surgery)

Prolapsed Hemorrhoid

(Surgery)

Anal Bleeding

(Surgery)

Post-Hemorrhoid Surgery

(Surgery)

Internal Hemorrhoid Bleeding

(Surgery)

Itchy Anus

(Surgery)

Anal Lump

(Surgery)

Anal Fissure

(Surgery)

Anal Fistula

(Surgery)