Mild external hemorrhoids or internal hemorrhoids?
Hello doctor, recently I have been experiencing pain in the anal area when using the restroom.
There is no visible blood in my stool, and the pain lasts for about five minutes after I finish.
Upon self-examination, I found a tissue-like lump near the anus that does not appear to be engorged.
I would like to know if this is an external or internal hemorrhoid.
Additionally, since it is inconvenient for me to seek medical attention, would improving my lifestyle and increasing my intake of fruits and vegetables help alleviate this condition? Or is it necessary to see a doctor for a diagnosis? Would you also recommend purchasing over-the-counter medication for topical application? Thank you.
a, 20~29 year old female. Ask Date: 2020/05/14
Dr. Yu Mingchang reply Surgery
Hello: Eat more fruits and vegetables.
There is no need to apply medications indiscriminately.
When you have time, please check in with the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, as they care about your well-being.
Reply Date: 2020/05/14
More Info
Hello! Thank you for reaching out with your concerns regarding your symptoms. Based on your description, it sounds like you may be experiencing mild hemorrhoids, which can manifest as pain during bowel movements, discomfort, and the presence of tissue-like lumps around the anal area. Hemorrhoids can be classified into two types: external and internal. External hemorrhoids are located under the skin around the anus and can be painful, especially when irritated. Internal hemorrhoids, on the other hand, are located inside the rectum and are usually not visible or painful unless they prolapse.
Given that you mentioned the presence of a tissue-like structure near the anus, it is likely that you are dealing with external hemorrhoids, especially since you are experiencing pain during bowel movements. The absence of visible blood in your stool is a good sign, but it is still important to monitor your symptoms.
In terms of self-care, there are several lifestyle modifications that can help alleviate your symptoms. Increasing your intake of fruits, vegetables, and fiber-rich foods can promote regular bowel movements and prevent constipation, which is a common aggravator of hemorrhoids. Staying well-hydrated is also crucial, as it helps soften the stool and makes it easier to pass. Additionally, consider incorporating regular physical activity into your routine, as this can improve bowel function.
Over-the-counter treatments may also provide relief. Creams or ointments specifically designed for hemorrhoids can help reduce inflammation and alleviate pain. Look for products containing hydrocortisone or witch hazel, as these ingredients can soothe the affected area. However, it is essential to follow the instructions on the packaging and consult with a pharmacist if you have any questions about which product may be best for you.
While self-care measures can be effective for mild hemorrhoids, it is important to know when to seek medical attention. If your symptoms persist for more than a week, worsen, or if you notice any bleeding, it is advisable to consult a healthcare professional. A doctor can provide a proper diagnosis and recommend appropriate treatments, which may include prescription medications or procedures if necessary.
In summary, while it is possible to manage mild hemorrhoids at home through dietary changes and over-the-counter treatments, do not hesitate to seek medical advice if your symptoms do not improve or if you have any concerns. Your health and comfort are important, and a healthcare provider can offer the best guidance tailored to your specific situation. Take care, and I hope you find relief soon!
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