Rectal Discomfort: Is It Hemorrhoids or Something Else? - Gastroenterology and Hepatology

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Feeling of a foreign body in the anus?


I have been experiencing constipation for a while, and recently after having a bowel movement, I felt a foreign object sensation in my anus.
When I wiped, I noticed a protrusion, but after some time, the foreign sensation went away.
Could this be hemorrhoids? Do I need to see a doctor, or can I manage this on my own?

Cai, 20~29 year old female. Ask Date: 2018/04/03

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, Miss.
You have general internal and external hemorrhoids, which are not a concern.
Please exercise more, avoid prolonged sitting, and increase your intake of fruits and vegetables.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/04/03

More Info


When experiencing rectal discomfort, especially after a bowel movement, it is important to consider various potential causes, including hemorrhoids, anal fissures, or other gastrointestinal issues. Based on your description of feeling a protrusion during bowel movements and the subsequent disappearance of that sensation, it is possible that you may be dealing with hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding.


Understanding Hemorrhoids
Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually do not cause pain, but they can lead to bleeding during bowel movements. External hemorrhoids, on the other hand, are located under the skin around the anus and can be painful, especially when a clot forms. The feeling of a lump or protrusion, particularly if it resolves after some time, aligns with the symptoms of external hemorrhoids.


Symptoms to Watch For
In addition to the sensation of a lump, other symptoms of hemorrhoids may include:
- Pain or discomfort during bowel movements
- Itching or irritation in the anal region
- Swelling around the anus
- Bleeding during bowel movements, which may appear as bright red blood on toilet paper or in the toilet bowl

When to See a Doctor
While many cases of hemorrhoids can be managed with lifestyle changes and over-the-counter treatments, it is advisable to consult a healthcare provider if:
- You experience significant pain or discomfort
- There is persistent bleeding
- You notice changes in your bowel habits
- You feel a lump that does not resolve or changes in size or shape

Self-Care and Management
If you suspect that your symptoms are due to hemorrhoids, there are several self-care measures you can take:
1. Increase Fiber Intake: Eating a high-fiber diet can help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

2. Stay Hydrated: Drinking plenty of water can help prevent constipation.

3. Warm Baths: Soaking in a warm bath can provide relief from discomfort and help reduce swelling.

4. Over-the-Counter Treatments: There are various creams and ointments available that can help alleviate symptoms of hemorrhoids.

5. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids.


Conclusion
In summary, while your symptoms may suggest hemorrhoids, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan. Self-care measures can be effective, but persistent or severe symptoms warrant medical evaluation to rule out other conditions and ensure appropriate management. Remember, early intervention can prevent complications and improve your quality of life.

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