Hemorrhoids: Causes, Symptoms, and Relief Options - Surgery

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Hemorrhoidal mass issue?


Hello doctor, I have a question.
After having a bowel movement, I notice a lump coming out, is it an internal hemorrhoid? In the past, I could push it back in, but recently it has been painful when I try to do so, and it also hurts to sit even when it doesn't come out.
What can I do to relieve this? Thank you, doctor.

Ms. A, 30~39 year old female. Ask Date: 2018/09/28

Dr. Yu Mingchang reply Surgery


Hello: Hemorrhoids combined with anal fissures can be treated with surgery.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2018/09/28

More Info


Hemorrhoids, commonly referred to as "piles," are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Based on your description of experiencing a "meatball" protruding after bowel movements, it is possible that you are dealing with internal hemorrhoids, especially if you have been able to push them back in previously.


Causes of Hemorrhoids
Hemorrhoids can develop due to increased pressure in the lower rectum. Common causes include:
1. Straining during bowel movements: This can be due to constipation or diarrhea.

2. Sitting for long periods: Especially on the toilet.

3. Pregnancy: The weight of the fetus can put pressure on the pelvic veins.

4. Obesity: Excess weight can increase pressure on the pelvic veins.

5. Aging: As we age, the tissues that support the veins in the rectum and anus can weaken.

6. Chronic cough or sneezing: This can increase abdominal pressure.


Symptoms of Hemorrhoids
The symptoms you may experience include:
- Pain or discomfort: Especially when sitting or during bowel movements.

- Swelling: A lump near the anus, which may be painful.

- Bleeding: Bright red blood on toilet paper or in the toilet bowl after a bowel movement.

- Itching or irritation: Around the anal region.


Relief Options
To alleviate the discomfort associated with hemorrhoids, consider the following options:
1. Dietary Changes: Increase fiber intake by consuming fruits, vegetables, and whole grains. This can help soften stools and reduce straining during bowel movements. Additionally, staying hydrated by drinking plenty of water is crucial.

2. Over-the-Counter Treatments: There are various creams and ointments available that can help relieve pain and itching. Look for products containing hydrocortisone or witch hazel.

3. Warm Baths: Soaking in a warm bath for 10-15 minutes several times a day can help reduce swelling and relieve pain.

4. Cold Compresses: Applying ice packs or cold compresses to the affected area can help reduce swelling and numb the pain.

5. Avoid Straining: When using the bathroom, try to relax and avoid straining. If you are constipated, consider using a stool softener or laxative as directed by a healthcare provider.

6. Topical Treatments: Creams or suppositories that contain hydrocortisone can reduce inflammation and discomfort.

7. Medical Procedures: If home treatments do not provide relief, consult a healthcare provider. They may recommend procedures such as rubber band ligation, sclerotherapy, or even surgical options for more severe cases.


When to Seek Medical Attention
If you experience severe pain, persistent bleeding, or if the hemorrhoids do not improve with home treatment, it is essential to seek medical advice. Your symptoms could indicate a more serious condition, and a healthcare professional can provide a proper diagnosis and treatment plan.


Conclusion
In summary, while it sounds like you may be dealing with hemorrhoids, it is important to monitor your symptoms closely. Implementing dietary changes, using over-the-counter treatments, and practicing good bowel habits can help alleviate discomfort. However, if your symptoms persist or worsen, do not hesitate to consult a healthcare provider for further evaluation and management.

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