Gastrointestinal and Rectal Issues: Symptoms and When to Seek Help - Surgery

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Gastrointestinal and anal issues?


Hello doctor, I have been experiencing bloating easily.
Over the past couple of years, I have started to eat more vegetables (I was a picky eater as a child).
Recently, I had sharp pain in my lower abdomen and consulted a gastroenterologist who diagnosed me with bloating and irritable bowel syndrome.
I took medication which provided some relief.
Last week, while showering, I noticed a slight swelling on the left side of my anus, while the right side was normal.
In the past couple of days, my stools have been thin and long, and I feel like I am not completely emptying my bowels.
Could you please advise me on what these symptoms might indicate? If I need to see a doctor, should I consult a colorectal specialist? Thank you.

Niming, 20~29 year old female. Ask Date: 2020/06/06

Dr. Ke Fangxu reply Surgery


Based on your description, it seems more like external hemorrhoid swelling.
I recommend using a topical ointment first.
If the symptoms do not improve or if there is pain or bleeding, you should consult a colorectal specialist for examination and treatment.

Reply Date: 2020/06/06

More Info


When it comes to gastrointestinal and rectal issues, understanding the symptoms and knowing when to seek medical help is crucial for maintaining overall health. Based on your description, it seems you are experiencing a combination of symptoms that may indicate a few different underlying conditions.

Firstly, the sensation of bloating and discomfort in the lower abdomen, along with the diagnosis of irritable bowel syndrome (IBS), suggests that your gastrointestinal tract is sensitive and may be reacting to certain foods or stressors. IBS is a common functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits, including diarrhea and constipation. The fact that you have started incorporating more vegetables into your diet is a positive step, as a high-fiber diet can help regulate bowel movements. However, it's important to introduce fiber gradually to avoid exacerbating bloating and gas.

The recent discovery of a lump or swelling near your anus could be indicative of several conditions, including hemorrhoids, anal fissures, or even a perianal abscess. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, especially during bowel movements. They can also lead to changes in stool consistency, such as thinner stools, due to the pressure they exert. If the lump is painful or accompanied by bleeding, it is essential to seek medical attention promptly.

Regarding your bowel movements, the sensation of incomplete evacuation and the presence of thin stools can be concerning. This could be related to the swelling near your anus, which may be obstructing the passage of stool. Alternatively, it could be a manifestation of IBS, where the bowel's motility is altered, leading to changes in stool form and frequency.

In terms of seeking medical help, it would be advisable to consult a gastroenterologist or a colorectal specialist. They can perform a thorough examination, which may include a digital rectal exam, anoscopy, or even a colonoscopy if deemed necessary. These procedures can help identify any structural issues, such as hemorrhoids or other abnormalities, and provide a clearer picture of your gastrointestinal health.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Dietary Adjustments: Continue to eat a balanced diet rich in fiber, but monitor your intake of certain foods that may trigger bloating or gas, such as beans, cruciferous vegetables, and dairy products. Keeping a food diary can help identify potential triggers.

2. Hydration: Ensure you are drinking plenty of water throughout the day, as this can help with digestion and prevent constipation.

3. Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and reduce bloating.

4. Stress Management: Since stress can exacerbate IBS symptoms, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

5. Medication: If your symptoms persist, discuss with your doctor the possibility of medications that can help manage IBS symptoms or address any specific issues related to the lump near your anus.

In conclusion, while your symptoms may be indicative of IBS and possibly hemorrhoids, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan. Early intervention can help prevent complications and improve your quality of life.

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