Is It Hemorrhoids? Non-Surgical Solutions for Anal Growths - Gastroenterology and Hepatology

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Is it hemorrhoids? If so, are there any methods other than surgery?


After I have a bowel movement, I wash my butt with water because I’m afraid that wiping might hurt it.
Sometimes I check the condition of my stool, and there is no blood.
However, I also check my anus (using my phone to take pictures), and I noticed that there is some tissue (I’m not sure how to describe this) growing from the side.
It doesn’t hurt when I touch it, and there’s no itching, but it looks quite unsightly.
I occasionally engage in anal intercourse, and I’m worried that it might cause more injury or worsen the situation.
Recently, I have been using hemorrhoid ointment.

A Chong, 20~29 year old female. Ask Date: 2019/02/26

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Considering modern lifestyles and dietary habits, it is quite difficult to be completely free of hemorrhoids.
Even with surgical treatment, hemorrhoids can still recur.
If you want to understand the condition of your anus, you can consult a colorectal surgeon.

Reply Date: 2019/02/26

More Info


Based on your description, it sounds like you may be dealing with an anal growth that could potentially be hemorrhoids, but it’s important to consider other possibilities as well. Hemorrhoids are swollen veins in the lower rectum and anus, and they can be either internal or external. External hemorrhoids can appear as lumps around the anus and may not be painful unless they become thrombosed (develop a blood clot). Internal hemorrhoids, on the other hand, are located inside the rectum and are usually not visible.

Given that you mentioned the growth is not painful, does not itch, and does not bleed, it could indeed be a hemorrhoid, but it might also be a skin tag or another type of benign growth. Skin tags are common and can occur in the anal area, often as a result of friction or irritation. They are typically harmless and do not require treatment unless they become bothersome.

You mentioned using a topical treatment called "療痔妥軟膏" (which translates to a hemorrhoid cream). These creams often contain ingredients that can help reduce inflammation and discomfort associated with hemorrhoids. However, if the growth persists or changes in appearance, it is advisable to consult a healthcare professional for a thorough examination.

Regarding your concern about anal intercourse, it is essential to approach this activity with caution, especially if you have any existing anal growths. Engaging in anal sex can potentially irritate or exacerbate any existing conditions, including hemorrhoids or skin tags. If you choose to continue, ensure you use plenty of lubrication and go slowly to minimize any potential trauma to the area.

In terms of non-surgical solutions for managing anal growths, here are some recommendations:
1. Dietary Changes: Incorporating more fiber into your diet can help soften stools and reduce straining during bowel movements, which can alleviate pressure on hemorrhoids. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

2. Hydration: Drinking plenty of water can also help keep stools soft and prevent constipation.

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

4. Topical Treatments: Over-the-counter creams and ointments designed for hemorrhoids can help reduce swelling and discomfort. Be sure to follow the instructions on the packaging.

5. Avoid Straining: When using the bathroom, try to avoid straining, as this can worsen hemorrhoids. If you feel the urge to go, try to respond promptly rather than waiting.

6. Regular Exercise: Engaging in regular physical activity can help promote healthy bowel function and reduce the risk of constipation.

7. Consult a Specialist: If the growth does not improve or if you have any concerns about it, it is crucial to see a healthcare provider, such as a gastroenterologist or a colorectal surgeon. They can provide a proper diagnosis and discuss potential treatment options, which may include non-surgical methods or, in some cases, surgical intervention if necessary.

In summary, while it is possible that you are dealing with hemorrhoids or a benign growth, it is essential to monitor the situation closely and consult a healthcare professional for an accurate diagnosis and appropriate management. Taking proactive steps in your diet and lifestyle can also help manage symptoms and prevent further issues.

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