Hello, doctor. Could you please tell me if this is a polyp or hemorrhoids?
Hello Doctor,
I have attached a photo: https://imgur.com/yu5ZfFz
Symptom description: I suddenly noticed something while cleaning myself after using the restroom, and I usually don’t have any discomfort.
However, after noticing it, I have been preoccupied with it.
I initially searched for hemorrhoids, but it doesn’t seem to resemble them, and there are no clinical symptoms.
The only issue is that I occasionally notice blood in my stool (but this happens only once every 2 to 3 years, and it’s been a long time since the last occurrence, plus it’s not painful).
My usual bathroom habits involve going as soon as I feel the urge, and I finish quickly.
However, sometimes when I’m busy and realize I haven’t gone that day, I might sit on the toilet for a while even if I don’t feel the urge.
I’m unsure if this is a contributing factor or if it’s a habit I should change.
I kindly ask for your valuable advice on the above issues.
Thank you!
luo ke yi, 30~39 year old female. Ask Date: 2020/04/26
Dr. Li Qinglong reply Surgery
Mr.
Rocky: Hello, based on the photo you provided, it appears to be hemorrhoids.
I recommend that you take the time to visit the outpatient clinic for a consultation.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2020/04/26
More Info
When it comes to distinguishing between a polyp and hemorrhoids, it is essential to understand the symptoms and the context in which they occur. Based on your description, it seems that you have experienced occasional rectal bleeding, which can be concerning. However, the infrequency of the bleeding (once every 2-3 years) and the absence of pain are important factors to consider.
Hemorrhoids are swollen veins in the lower rectum or anus, and they can be classified as either internal or external. Internal hemorrhoids typically do not cause pain but can lead to bleeding during bowel movements. The blood is usually bright red and may be seen on the toilet paper or in the toilet bowl. External hemorrhoids, on the other hand, can be painful and may cause discomfort, especially if a clot forms.
Polyps, on the other hand, are growths on the lining of the colon or rectum. They can vary in size and may be benign or precancerous. Polyps often do not cause symptoms, but larger polyps can lead to bleeding, which may be darker in color compared to hemorrhoidal bleeding.
Given that you have not experienced any significant discomfort or other clinical symptoms, it is possible that what you are experiencing could be related to hemorrhoids, especially if the bleeding is bright red and occurs during bowel movements. However, the fact that you are concerned about the bleeding and its infrequency suggests that it would be wise to consult a healthcare professional for further evaluation.
Regarding your bowel habits, it is important to listen to your body's signals. If you feel the urge to go, it is best to respond to that urge rather than waiting until you are busy. Sitting on the toilet for extended periods can lead to straining, which may exacerbate hemorrhoids or lead to other issues such as constipation.
To maintain healthy bowel habits, consider the following tips:
1. Dietary Changes: Ensure you are consuming a high-fiber diet, which can help soften stools and promote regular bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.
2. Hydration: Drink plenty of water throughout the day to help keep stools soft.
3. Regular Exercise: Physical activity can help stimulate bowel function and reduce the risk of constipation.
4. Avoid Straining: When you feel the urge to go, try to go to the bathroom promptly. Avoid sitting on the toilet for long periods, as this can increase pressure on the rectal veins.
5. Routine: Establish a regular bathroom routine to help train your body to have bowel movements at consistent times.
If the bleeding persists or if you notice any changes in your bowel habits, such as increased frequency of bleeding, changes in stool color, or any new symptoms, it is crucial to seek medical attention. A healthcare provider may recommend a colonoscopy or other diagnostic tests to rule out any serious conditions, including polyps or other gastrointestinal issues.
In summary, while your symptoms may suggest hemorrhoids, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate management. Maintaining healthy bowel habits and being proactive about your health can help alleviate concerns and promote overall well-being.
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