Anal Discomfort: Is It Hemorrhoids or Something Else? - Surgery

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Anal blockage?


Recently, Dr.
Ping An has been experiencing a sensation of something wanting to come out of the anus while squatting to use the toilet, but no matter how hard he tries, nothing comes out.
Yesterday, he felt a similar sensation while squatting to urinate, with a feeling of something being stuck.
When wiping the anus with toilet paper, he noticed blood, and while bathing, he felt small growths at the anal opening.
Could this be caused by hemorrhoids? Thank you.

Xiǎng yào jiànkāng de shēntǐ, 20~29 year old female. Ask Date: 2018/07/03

Dr. Chen Jiaming reply Surgery


Based on your description, it is indeed quite likely that hemorrhoids are the cause.
However, a definitive diagnosis can only be made through an in-person examination by a physician.
For the bleeding, it is recommended to reduce friction from wiping; you might try using moist wipes or switching to a rinsing method, followed by patting dry.
As for the hemorrhoids, it would be best to follow the clinical recommendations of your physician after a confirmed diagnosis.

Reply Date: 2018/07/03

More Info


When experiencing anal discomfort, especially with symptoms such as a sensation of something being present in the anal area, difficulty in passing stool, and the presence of blood, it is essential to consider several potential causes. One of the most common causes of such symptoms is hemorrhoids, which are swollen veins in the lower rectum and anus that can cause discomfort, itching, and bleeding. However, other conditions can also lead to similar symptoms, and it is crucial to differentiate between them.

Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and are usually not visible. They can cause bleeding during bowel movements, which may be noticed as bright red blood on the toilet paper or in the toilet bowl. External hemorrhoids, on the other hand, are located under the skin around the anus and can cause pain, swelling, and the sensation of a lump or mass.

In your case, the sensation of something being present and the presence of blood could indeed suggest hemorrhoids, especially if you have noticed small growths or tags around the anal area, which can be indicative of external hemorrhoids or skin tags resulting from previous irritation. However, it is also possible that other conditions could be contributing to your symptoms, such as anal fissures (small tears in the lining of the anus), anal abscesses, or even more serious conditions like anal warts or tumors.

Given the presence of blood and the sensation of a mass, it is advisable to seek medical attention for a thorough evaluation. A healthcare provider can perform a physical examination, which may include a digital rectal exam and possibly an anoscopy, to visualize the anal canal and rectum more clearly. This will help in diagnosing the exact cause of your symptoms.

Additionally, it is essential to consider your bowel habits and dietary factors. Straining during bowel movements, constipation, and a low-fiber diet can exacerbate hemorrhoids and lead to further complications. Increasing fiber intake, staying hydrated, and avoiding prolonged sitting on the toilet can help alleviate symptoms.

In summary, while your symptoms may suggest hemorrhoids, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and improve your quality of life. If hemorrhoids are confirmed, treatment options may include lifestyle changes, topical treatments, or in more severe cases, surgical interventions. Please do not hesitate to reach out to a healthcare provider to discuss your symptoms further.

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