Is It Hemorrhoids? Symptoms and Relief Options - Surgery

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Is it hemorrhoids?


On Saturday, I seemed to have strained too much while using the restroom, and since Sunday, I've been feeling a lot of pain in my anus.
Whether sitting on a chair or lying in bed, it feels like something is stuck there.
When I shower, I can feel a small bump, and pressing it doesn't hurt.
I applied some ointment at night, and it seemed to reduce a bit in size by the next morning, but now it seems to be swelling again, although it's not as painful as it was a few days ago.
I've been eating a lot of high-fiber foods like sweet potatoes and water spinach, and I also bought probiotics to take.
Although I have been having bowel movements, the amount is very small, and the stool is somewhat watery.
When I wipe with toilet paper, there is a slight trace of light blood on it.

Niming, 20~29 year old female. Ask Date: 2016/04/19

Dr. Ke Fangxu reply Surgery


This situation is likely caused by straining during bowel movements, leading to acute hemorrhoidal swelling.
It is recommended to avoid constipation during this period and to shorten the time spent on the toilet.
Warm sitz baths should also help alleviate symptoms.
Over-the-counter hemorrhoid suppositories can be used as well.
However, laxatives should not be taken casually.
At this age, increasing dietary fiber and hydration should be sufficient.
If symptoms persist without improvement, it is best to consult a physician for evaluation.

Reply Date: 2016/04/19

More Info


Based on the symptoms you've described, it is possible that you are experiencing hemorrhoids, which are swollen veins in the lower rectum and anus. Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and are usually not visible, while external hemorrhoids are located under the skin around the anus and can be felt or seen as a lump.

The symptoms you mentioned, such as pain in the anal area, the sensation of something being stuck, and the presence of a lump that does not hurt when pressed, are consistent with external hemorrhoids. The fact that you noticed some bleeding when wiping could also be indicative of hemorrhoids, as they can bleed when irritated, especially during bowel movements.

When you mentioned that you had to exert yourself while using the bathroom, this can often lead to the development or exacerbation of hemorrhoids. Straining during bowel movements increases pressure in the rectal area, which can cause the veins to swell and become painful. The use of high-fiber foods, such as sweet potatoes and water spinach, is a good approach to help soften your stool and reduce straining. Additionally, probiotics can help maintain a healthy gut flora, which may improve bowel regularity.

Here are some relief options you might consider:
1. Warm Sitz Baths: Soaking in warm water for about 10-15 minutes several times a day can help soothe the area and reduce discomfort.

2. Over-the-Counter Treatments: There are various creams and ointments available that can provide temporary relief from pain and itching associated with hemorrhoids. Look for products that contain hydrocortisone or witch hazel.

3. Cold Compresses: Applying a cold pack to the affected area can help reduce swelling and numb the pain.

4. Stool Softeners: If you're still experiencing difficulty with bowel movements, consider using a stool softener to make it easier to pass stool without straining.

5. Hydration: Ensure you are drinking plenty of fluids, as staying hydrated can help prevent constipation.

6. Avoid Straining: When you feel the urge to have a bowel movement, try to go as soon as possible. Avoid sitting on the toilet for extended periods, as this can increase pressure on the veins.

7. Consult a Healthcare Provider: If your symptoms persist, worsen, or if you experience significant bleeding, it is important to consult a healthcare professional. They can provide a proper diagnosis and discuss further treatment options, which may include procedures for more severe cases of hemorrhoids.

In summary, while your symptoms are suggestive of hemorrhoids, it is essential to monitor your condition closely. If you notice any changes or if the pain and bleeding do not improve with home care measures, seeking medical advice is crucial. A healthcare provider can perform a thorough examination and rule out other potential causes of your symptoms, ensuring you receive the appropriate care.

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