Post-Gastroenteritis: Is My Swollen Hemorrhoid a Cause for Concern?

After gastroenteritis, experiencing diarrhea may result in what appears to be an external hemorrhoid at the anal opening?

Hello, doctor.
Recently, I ate some spoiled food and have been experiencing stomach pain for several days, along with frequent diarrhea.
As a result, one of the three lumps at the anal area has turned a bit red and purple and is swollen.
Do I need to go to a major hospital for a doctor to incise it, or would soaking in warm water and applying medication be sufficient? Will I need to push it back in? I'm feeling a bit uncomfortable while sitting, and I'm worried it might burst and cause bleeding.
If necessary, I can provide pictures for your reference.
Thank you for your help.

Jack1, 20~29 year old female. Ask Date: 2019/09/15

Dr. Ke Fangxu reply Surgery

Based on your description, it does seem more like a thrombosed hemorrhoid.
If you are not experiencing significant discomfort, you can use over-the-counter hemorrhoid ointments and warm sitz baths, which may help.
However, if you are in pain or are concerned about the hemorrhoid rupturing unexpectedly, you can consult a physician for a local anesthetic and incision, which may lead to a quicker recovery.

Reply Date: 2019/09/15

More Info

It sounds like you are experiencing some concerning symptoms related to your hemorrhoids following a bout of gastroenteritis. Let’s break down your situation and address your concerns.

Understanding Hemorrhoids
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). Symptoms can include pain, discomfort, itching, and bleeding during bowel movements. In your case, it seems that one of your external hemorrhoids has become inflamed, turning red and purple, and is swollen.

Causes of Concern
1. Color Changes: The redness and purplish hue you are observing can indicate inflammation or thrombosis (a blood clot within the hemorrhoid). This can be painful and may require treatment, especially if it is causing significant discomfort or if you notice any changes in bleeding patterns.

2. Bleeding: If you experience bleeding, especially if it is bright red and occurs during bowel movements, it is essential to monitor the situation. While hemorrhoids can cause bleeding, other conditions such as anal fissures or more serious issues like colorectal cancer can also lead to similar symptoms.
3. Pain and Discomfort: If the pain is significant or if you find it difficult to sit comfortably, this could indicate that the hemorrhoid is thrombosed or infected, which may require medical intervention.

When to Seek Medical Attention
You should consider seeking medical attention if:
- The swelling and color change do not improve with home treatment (like warm sitz baths and over-the-counter topical treatments).

- You experience severe pain that is not relieved by over-the-counter pain medications.

- You notice significant bleeding, especially if it is accompanied by other symptoms like dizziness or weakness.

- You have any concerns about the possibility of an infection or if the hemorrhoid appears to be worsening.

Home Treatment Options
In the meantime, here are some home care strategies you can implement:
- Warm Sitz Baths: Soaking in warm water for 10-15 minutes several times a day can help reduce swelling and relieve discomfort.

- Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can provide relief from itching and discomfort.

- Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation, which can exacerbate hemorrhoid symptoms. Staying hydrated is also crucial.

- Avoid Straining: When using the bathroom, avoid straining, as this can worsen hemorrhoids.

Conclusion
While it is possible that your symptoms can be managed with conservative treatment, it is essential to remain vigilant. If your symptoms persist or worsen, do not hesitate to consult a healthcare professional. They can provide a thorough examination and determine if any further intervention, such as a surgical procedure, is necessary. Remember, it’s always better to err on the side of caution when it comes to your health.

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