Is It Hemorrhoids or Polyps? Your Symptoms - Surgery

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Is it hemorrhoids or polyps?


I have noticed that one side of my anus has more tissue and is larger, but it doesn't hurt.
I usually don't experience pain during bowel movements, and there is no bleeding.
I don't have daily bowel movements; sometimes I go every day, and other times it can take four to five days.
Occasionally, a polyp swells up, and when it does, it can be painful for about a week, and this happens once every few months.
Could this be hemorrhoids?

Haha, 30~39 year old female. Ask Date: 2017/07/26

Dr. Yu Mingchang reply Surgery


Hello: The possibility of external moles is higher.
Please take some time to consult with the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, as they care about your health.

Reply Date: 2017/07/26

More Info


When it comes to distinguishing between hemorrhoids and polyps, understanding your symptoms is crucial. Based on your description, it seems you are experiencing some discomfort and changes in your bowel habits, which can be concerning. Let's break down the symptoms and provide some insights into what you might be dealing with.


Hemorrhoids vs. Polyps
Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be internal (inside the rectum) or external (under the skin around the anus). Common symptoms include:
- Pain or discomfort: This is often felt during bowel movements or when sitting.

- Bleeding: Bright red blood may appear on toilet paper or in the toilet bowl.

- Swelling or lumps: You may notice a lump near the anus, which can be sensitive or painful, especially when sitting or during bowel movements.

Polyps, on the other hand, are growths on the lining of the colon or rectum. They can be benign (non-cancerous) or precancerous. Symptoms of polyps can include:
- Bleeding: Similar to hemorrhoids, but may be less common.

- Change in bowel habits: This can include diarrhea or constipation.

- Abdominal pain: This is less common but can occur if the polyp is large or if there are multiple polyps.


Your Symptoms
From your description, you mentioned that one side of your anus has more tissue, which could suggest the presence of hemorrhoids. The fact that you do not experience pain during bowel movements and have not noticed any bleeding is also indicative of hemorrhoids rather than polyps. However, the occasional swelling and pain lasting for a week could suggest an exacerbation of hemorrhoids, especially if they are external.


Factors to Consider
1. Bowel Habits: You mentioned that your bowel movements are irregular, sometimes occurring every day and other times taking several days. Irregular bowel habits can contribute to the development of hemorrhoids due to straining during bowel movements.

2. Pain and Swelling: The swelling and pain you experience occasionally could indicate thrombosed hemorrhoids, which occur when a blood clot forms in an external hemorrhoid. This can cause significant pain and swelling.

3. Lifestyle Factors: Factors such as diet, hydration, and physical activity levels can greatly affect bowel health. A diet low in fiber can lead to constipation, which can exacerbate hemorrhoids.


Recommendations
1. Consult a Healthcare Provider: It is essential to consult a healthcare provider for a proper diagnosis. They may perform a physical examination and possibly a colonoscopy to rule out polyps or other conditions.

2. Dietary Changes: Increasing your fiber intake can help regulate your bowel movements and reduce straining. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

3. Hydration: Ensure you are drinking enough water throughout the day to help soften your stool.

4. Over-the-Counter Treatments: There are various over-the-counter treatments available for hemorrhoids, such as topical creams or suppositories that can help alleviate symptoms.

5. Regular Check-ups: If you have a family history of colorectal issues or if you experience any changes in your symptoms, regular check-ups with a healthcare provider are advisable.


Conclusion
While your symptoms may suggest hemorrhoids, it is important to seek medical advice to confirm the diagnosis and rule out any other potential issues, such as polyps. Early intervention can help manage symptoms effectively and prevent complications. Remember, maintaining a healthy lifestyle with a balanced diet and regular exercise can significantly improve your bowel health and overall well-being.

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