Hemorrhoids: Symptoms, Causes, and Home Remedies

Hemorrhoid issues

Hello Doctor: I have had constipation issues since childhood.
When my stools are hard, I often experience bleeding, but usually, I only need to wipe 1 or 2 times to feel clean.
I have a lump near my anus, so I have always thought I might have hemorrhoids (though I have never seen a doctor).
Last year, after a bowel movement, I experienced pain in my buttocks for a period of time (a few hours).
Since then, whenever my stools are slightly hard, I feel noticeable pain on the right side of my buttocks (the left side does not hurt).
In the past few days, I have noticed that touching the area around my anus is painful.
There is a small lump next to my anus (I can feel it without having to insert my finger) that hurts when touched, but I don't feel any particular discomfort when sitting or standing.
Could I have external hemorrhoids or an anal fissure? Can I use hemorrhoid cream and take sitz baths for improvement? Thank you, Doctor.

Fei, 20~29 year old female. Ask Date: 2019/10/21

Dr. Ke Fangxu reply Surgery

Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding.
The common causes are often constipation or diarrhea.
The fundamental treatment is to improve bowel habits, along with warm sitz baths.
Warm sitz baths can help alleviate pain, maintain cleanliness, and promote blood circulation.
You can also purchase hemorrhoid suppositories over the counter for relief.
If symptoms persist without improvement, it is advisable to consult a physician for further evaluation.

Reply Date: 2019/10/21

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: external hemorrhoids, which occur under the skin around the anus, and internal hemorrhoids, which occur inside the rectum. Understanding the symptoms, causes, and potential home remedies for hemorrhoids can help manage this condition effectively.

Symptoms of Hemorrhoids
The symptoms of hemorrhoids can vary depending on their type. Common symptoms include:
1. Bleeding: Bright red blood may appear on toilet paper or in the toilet bowl after a bowel movement.

2. Pain or Discomfort: This is particularly common with external hemorrhoids, especially when sitting or during bowel movements.

3. Swelling: A lump or swelling near the anus may be felt, which can be sensitive or painful.

4. Itching: The area around the anus may become itchy or irritated.

In your case, the symptoms you describe—bleeding during bowel movements, pain in the right side of the anus, and a palpable lump—are indicative of either external hemorrhoids or possibly an anal fissure. An anal fissure is a small tear in the lining of the anus, which can occur due to passing hard stools and can cause significant pain and bleeding.

Causes of Hemorrhoids
Several factors can contribute to the development of hemorrhoids, including:
1. Chronic Constipation: Straining during bowel movements can increase pressure on the veins in the rectal area.

2. Pregnancy: The increased pressure from the growing uterus can lead to hemorrhoids.

3. Obesity: Excess weight can put additional pressure on the pelvic veins.

4. Prolonged Sitting: Sitting for long periods, especially on the toilet, can increase pressure on the veins.

5. Low-Fiber Diet: A diet low in fiber can lead to constipation and straining.

Home Remedies
For mild cases of hemorrhoids, several home remedies may provide relief:
1. Warm Sitz Baths: Soaking the affected area in warm water for 10-15 minutes several times a day can help reduce pain and swelling.

2. Over-the-Counter Creams: Products containing hydrocortisone or witch hazel can relieve itching and discomfort.

3. Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining.

4. Hydration: Drinking plenty of water can also help prevent constipation.

5. Avoid Straining: Try not to strain during bowel movements, and consider using a stool softener if necessary.

When to See a Doctor
While home remedies can be effective, it’s important to consult a healthcare professional if:
- Symptoms persist or worsen despite home treatment.

- You experience significant pain or discomfort.

- There is a large amount of bleeding or blood clots.

- You notice changes in bowel habits or other unusual symptoms.

In conclusion, based on your symptoms, it is possible that you may be experiencing external hemorrhoids or an anal fissure. Using topical treatments like over-the-counter creams and practicing sitz baths can be beneficial. However, it is advisable to seek medical attention for a proper diagnosis and treatment plan, especially if symptoms persist or worsen. A healthcare provider can offer a thorough examination and recommend appropriate interventions to alleviate your discomfort.

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