Identifying the Cause: Rectal Prolapse or Hemorrhoids? - Surgery

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Inquire about the correct diagnosis, unsure whether it is rectal prolapse or rectal eversion?


About a month and a half ago, I discovered a small lump at the anal opening after using the restroom.
It feels like a protrusion from the intestinal wall, with no signs of pain or bleeding, just a small lump about the size of a fingertip.
It tends to come out on its own and seems to have a mucous membrane.
I haven't seen a doctor yet.
I suspect this may be related to prolonged sitting during bowel movements around the time I noticed it, and it might have been present even earlier.
I would like to ask the doctor: 1.
What is the exact diagnosis? Which specialist should I see? 2.
If I don't have time to see a doctor right away, what ointment should I look for? 3.
Is it safe to apply (or spray) essential oils or similar products?

Niu Ba, 10~19 year old female. Ask Date: 2020/04/30

Dr. Ke Fangxu reply Surgery


1.
Based on your description, it seems to be a case of hemorrhoidal prolapse.
If you need to seek medical attention, you should consult a colorectal surgeon, which some hospitals may refer to as proctology.

2.
You can first purchase topical ointments for hemorrhoids at a pharmacy.

3.
Avoid using essential oil products around the anal area, as the skin structure there is more delicate and may lead to skin inflammation.

Reply Date: 2020/04/30

More Info


When it comes to the symptoms you are experiencing, it is important to differentiate between rectal prolapse and hemorrhoids, as both conditions can present with similar signs but require different management strategies.
1. Diagnosis: Based on your description of a small, non-painful "meatball" at the anal opening that appears after bowel movements, it is possible that you are dealing with either a hemorrhoid or a rectal prolapse. Hemorrhoids are swollen veins in the lower rectum or anus, which can protrude and may or may not be painful. Rectal prolapse, on the other hand, occurs when part of the rectum protrudes through the anus, often described as a "bulge" or "lump." Given that you mentioned the absence of pain and bleeding, it leans more towards a hemorrhoid, but a prolapse cannot be ruled out without a proper examination.

2. Specialist Consultation: You should consider seeing a gastroenterologist or a colorectal surgeon. These specialists are well-equipped to evaluate your symptoms through a physical examination and possibly a rectal examination. They can provide a definitive diagnosis and recommend appropriate treatment options.

3. Over-the-Counter Treatments: If you are unable to see a doctor immediately, there are over-the-counter treatments available for hemorrhoids. Creams and ointments containing hydrocortisone can help reduce inflammation and discomfort. Witch hazel pads can also provide soothing relief. However, it is crucial to avoid using any products that could irritate the area further.

4. Essential Oils: While some people use essential oils for various ailments, it is generally not advisable to apply them directly to sensitive areas such as the anal region without medical supervision. Essential oils can cause irritation or allergic reactions, especially in delicate tissues. If you are considering using any topical treatment, it is best to consult with a healthcare provider first.

5. Lifestyle Modifications: In the meantime, consider making some lifestyle changes that can help alleviate symptoms. Increasing dietary fiber can help prevent constipation and reduce straining during bowel movements, which can exacerbate both hemorrhoids and rectal prolapse. Staying hydrated and engaging in regular physical activity can also promote healthy bowel function.

6. When to Seek Immediate Care: If you experience any new symptoms such as significant pain, bleeding, or changes in bowel habits, it is important to seek medical attention promptly. These could be signs of a more serious condition that requires immediate evaluation.

In summary, while it is possible that you are experiencing hemorrhoids or rectal prolapse, a definitive diagnosis can only be made through a physical examination by a qualified healthcare professional. Until you can see a doctor, consider using over-the-counter treatments for hemorrhoids and making dietary adjustments to support bowel health. Avoid using essential oils or any unverified topical treatments without consulting a healthcare provider.

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