Anal issues
Yesterday afternoon, I had two bowel movements.
The first one was somewhat soft, and I didn't feel anything unusual afterward.
The second one came on suddenly and was a forceful diarrhea.
At that moment, I felt some pain in the anal area, but it didn't persist.
However, after sitting in class for three hours in the evening, around 9-10 PM, I started to feel pain in the anal area and a sensation of something foreign.
It hurts when touched.
I initially thought it was due to some injury from the bowel movement in the afternoon, but the pain persisted into the next day.
When I looked in the mirror, I noticed a purple protrusion.
In a panic, I pushed it back in, but it still hurt, although it seemed less painful than when it was outside (but there is still some redness and swelling on one side).
I want to know if this is hemorrhoids? I didn't feel anything unusual right after the bowel movement (or maybe I'm just not sensitive enough), but the symptoms appeared after sitting for a long time.
This seems to be the first time I've experienced this.
Are there any self-relief methods I can try?
Niming, 10~19 year old female. Ask Date: 2021/03/07
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is possible to take a warm water bath for acne, and if there is no improvement, you may consider consulting a gastroenterologist or a colorectal specialist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2021/03/07
More Info
Anal pain can be a distressing experience, and your symptoms suggest that you may be dealing with hemorrhoids, also known as piles. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding, especially during bowel movements. They can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually do not cause pain unless they prolapse, while external hemorrhoids are located under the skin around the anus and can be quite painful, especially if a blood clot forms.
Your description of experiencing pain after a sudden bout of diarrhea, along with the presence of a purple object that you mentioned, aligns with the symptoms of external hemorrhoids. The pain you feel when sitting for extended periods may also be exacerbated by the pressure on the affected area. The redness and swelling around the area further support this possibility.
To manage your symptoms at home, here are several remedies and lifestyle changes that may help alleviate the discomfort:
1. Warm Sitz Baths: Soaking in warm water for about 10-15 minutes several times a day can help reduce pain and inflammation. This is particularly effective after bowel movements.
2. Cold Compress: Applying a cold pack or ice wrapped in a cloth to the affected area can help reduce swelling and numb the pain.
3. Over-the-Counter Medications: Non-prescription topical treatments containing hydrocortisone or witch hazel can provide relief from itching and discomfort. Oral pain relievers such as ibuprofen or acetaminophen can also help manage pain.
4. Dietary Changes: Increasing your fiber intake can help soften your stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, staying well-hydrated by drinking plenty of water can also aid in digestion.
5. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can worsen hemorrhoids. If you feel the urge to go, don’t delay, as prolonged sitting on the toilet can increase pressure on the anal veins.
6. Limit Sitting Time: If you have to sit for long periods, take breaks to stand and move around. This can help relieve pressure on the anal area.
7. Gentle Hygiene: After bowel movements, clean the area gently with moist wipes or a soft cloth instead of dry toilet paper, which can irritate the skin.
If your symptoms persist or worsen, or if you notice significant bleeding, it is essential to seek medical attention. A healthcare provider can perform a thorough examination to confirm the diagnosis and rule out other potential issues, such as anal fissures or more serious conditions. In some cases, if conservative treatments do not provide relief, medical procedures may be necessary to remove or reduce the hemorrhoids.
In summary, while your symptoms are suggestive of hemorrhoids, self-care measures can often provide relief. However, do not hesitate to consult a healthcare professional for a definitive diagnosis and tailored treatment plan if your symptoms do not improve.
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