Uncommon Hemorrhoid Symptoms: When to Seek Medical Help

The appearance does not resemble hemorrhoids found online?

Hello, doctor.
Previously, I experienced some bleeding after wiping (it happened once or twice and then stopped).
After that, I started to feel a foreign body sensation and thought it might be hemorrhoids, but after looking at pictures online, it seems completely different.
My external appearance looks almost normal, but I have this foreign body sensation, and it feels hard when I touch it.
Recently, my bowel movements have been thin and elongated.
I would like to ask the doctor a few questions: 1.
I have been using a hemorrhoid cream for three days, but it hasn't been very effective, and the foreign body sensation has actually worsened.
Should I seek help from a larger hospital? 2.
Do my symptoms resemble hemorrhoids? 3.
Can the medication completely eliminate the foreign body sensation? 4.
If it is indeed an external hemorrhoid, will using medication lead to complete recovery?

Niming, 20~29 year old female. Ask Date: 2021/07/05

Dr. Ke Fangxu reply Surgery

1.
You can observe for a few more days.

2.
Similar to that.

3.
Taking warm sitz baths can also be helpful.

4.
Your symptoms are more indicative of internal hemorrhoids rather than external hemorrhoids.
Maintaining a good diet and lifestyle will help prevent recurrence.

Reply Date: 2021/07/05

More Info

When it comes to uncommon hemorrhoid symptoms, it’s essential to understand the underlying issues and when to seek medical help. Based on your description, you have experienced bleeding during bowel movements, a sensation of a foreign body, and changes in stool shape. Let's address your questions one by one.

1. Should you seek help from a larger hospital? Given that you have been using a topical treatment for three days without significant improvement and that your symptoms seem to be worsening, it would be prudent to seek medical attention. Persistent symptoms, especially those involving bleeding and a sensation of a foreign body, warrant a thorough evaluation by a healthcare professional. A visit to a gastroenterologist or a colorectal specialist can provide you with a more accurate diagnosis and appropriate treatment options.

2. Do your symptoms resemble hemorrhoids? While your symptoms could potentially indicate hemorrhoids, they could also suggest other conditions, such as anal fissures, polyps, or even more serious issues like colorectal cancer. Hemorrhoids typically present with symptoms such as pain, itching, and bleeding, especially during bowel movements. However, the sensation of a hard mass and changes in stool shape (thin, pencil-like stools) can be concerning and may not be solely attributable to hemorrhoids. A healthcare provider can perform a physical examination and possibly a colonoscopy to determine the exact cause of your symptoms.

3. Can topical treatments eliminate the sensation of a foreign body? Topical treatments, such as those containing hydrocortisone or witch hazel, can help reduce inflammation and discomfort associated with hemorrhoids. However, if the sensation of a foreign body persists, it may indicate that the underlying issue is not solely hemorrhoidal. In such cases, topical treatments may not be sufficient, and further medical evaluation is necessary to address the root cause of your symptoms.

4. Can topical treatments cure external hemorrhoids? In many cases, topical treatments can alleviate the symptoms of external hemorrhoids, such as pain and itching. However, they may not completely eliminate the hemorrhoids themselves. If external hemorrhoids are large or thrombosed (clotted), they may require more invasive treatments, such as rubber band ligation or surgical removal. It is important to follow up with a healthcare provider to determine the best course of action based on the severity of your condition.

In summary, while your symptoms may suggest hemorrhoids, the presence of bleeding, a foreign body sensation, and changes in stool shape necessitate a thorough medical evaluation. It is crucial to consult with a healthcare professional who can provide a comprehensive assessment and tailor a treatment plan to your specific needs. Early intervention can help prevent complications and improve your quality of life. Remember, it’s always better to err on the side of caution when it comes to your health.

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