It is possible for hemorrhoids to develop and progress to grade II within two weeks?
Hello, Doctor.
I would like to inquire about something.
About two weeks ago, I went to a hospital for the ligation of my last hemorrhoid (the previous doctor mentioned that I had three stage II hemorrhoids).
For some reason, I felt that the third one had not fallen off, so I returned for a follow-up two weeks later.
The doctor examined me and confirmed that it had fallen off, but unexpectedly mentioned that I have a fourth stage II hemorrhoid.
I would like to know if it is possible for an internal hemorrhoid to form in the anal area and quickly progress to stage II within just two weeks?
yiwen, 20~29 year old female. Ask Date: 2020/09/27
Dr. Ke Fangxu reply Surgery
I always advise patients not to get caught up in the specifics of the stage or the number of hemorrhoids.
If there are symptoms, then treatment is warranted; if there are no symptoms, it's best to leave it be.
Internal hemorrhoids may fluctuate in size due to the degree of swelling and previous ligation.
As long as there is no pain or bleeding, there is no need to seek a complete eradication.
Otherwise, excessive treatment can lead to unnecessary side effects and psychological burdens.
Reply Date: 2020/09/27
More Info
Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They are classified into two main types: internal and external hemorrhoids. Internal hemorrhoids are located inside the rectum and are generally not visible, while external hemorrhoids are located under the skin around the anus. The classification of internal hemorrhoids is further divided into four stages based on their severity and symptoms.
To address your question about the possibility of developing and progressing to Stage II internal hemorrhoids within just two weeks, it is indeed plausible, although it may not be the most common scenario. Internal hemorrhoids can develop due to increased pressure in the lower rectum, which can be caused by various factors such as straining during bowel movements, prolonged sitting, obesity, pregnancy, and chronic constipation or diarrhea.
In your case, it seems that you had previously identified three internal hemorrhoids, and after a procedure to ligate the last one, you were informed of a new fourth hemorrhoid that had developed to Stage II. Stage II internal hemorrhoids are characterized by prolapse, meaning they can protrude from the anal canal during bowel movements but retract on their own afterward. The rapid development of a new hemorrhoid could be attributed to several factors:
1. Continued Strain: If you are still experiencing straining during bowel movements, this can lead to the formation of new hemorrhoids. Straining increases pressure in the rectal area, which can cause existing veins to swell or new ones to form.
2. Healing Process: After undergoing a procedure for hemorrhoid ligation, the surrounding tissue may be more susceptible to developing new hemorrhoids as the area heals. The healing process can sometimes lead to changes in pressure dynamics in the rectal area.
3. Lifestyle Factors: Diet, hydration, and physical activity levels play significant roles in bowel health. A diet low in fiber can lead to constipation, which in turn can contribute to the formation of hemorrhoids. If your lifestyle has not changed significantly since your last visit, this could also explain the rapid development of a new hemorrhoid.
4. Underlying Conditions: Certain medical conditions can predispose individuals to develop hemorrhoids more rapidly. If there are underlying issues such as chronic constipation or other gastrointestinal disorders, these could contribute to the formation of new hemorrhoids.
In conclusion, while it is not the most common occurrence for a new internal hemorrhoid to develop and progress to Stage II within just two weeks, it is certainly possible given the right conditions. It is essential to discuss your symptoms and concerns with your healthcare provider, who can offer tailored advice and treatment options. They may recommend lifestyle changes, dietary adjustments, or further medical interventions to manage your hemorrhoids effectively. Regular follow-ups and monitoring are crucial to prevent further complications and to ensure that any new hemorrhoids are addressed promptly.
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