Rice Grain-Like Bumps in the Rectal Area: Causes and Concerns - Surgery

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The presence of rice grain-like bumps in the rectal area, especially in the context of a history of hemorrhoids and recent bleeding during bowel movements, raises several important considerations. Given your previous diagnosis of hemorrhoids and the current symptoms, it is crucial to understand the potential causes and implications of these findings.

Firstly, the "rice grain-like" bumps you are feeling could be indicative of several conditions. One possibility is that these bumps are external hemorrhoids or skin tags that have developed as a result of chronic straining during bowel movements. Hemorrhoids are swollen veins in the lower rectum and anus, and they can become inflamed or thrombosed, leading to pain, discomfort, and bleeding. The texture you describe may be consistent with external hemorrhoids, which can feel like small lumps or bumps around the anal area.

Another possibility is that these bumps could be anal warts or other benign growths. Anal warts are caused by the human papillomavirus (HPV) and can appear as small, flesh-colored or white bumps. While they are generally not harmful, they can cause discomfort and may require treatment if they become bothersome.

Additionally, the presence of these bumps could be related to anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools. Fissures can cause significant pain during bowel movements and may lead to a cycle of straining and bleeding, further exacerbating hemorrhoidal symptoms.

The pain you experience when attempting to contract or lift the pelvic floor (referred to as "提肛") could be due to muscle tension or spasm in the anal sphincter. This is common in individuals with hemorrhoids or fissures, as the body instinctively tightens the muscles in response to pain or discomfort. This tension can create a cycle of pain and difficulty with bowel movements, leading to further complications.

Given your symptoms and history, it is essential to consult with a healthcare professional for a thorough evaluation. They may recommend a physical examination, possibly including a digital rectal exam or anoscopy, to better assess the condition of the anal area and identify the nature of the bumps. Treatment options may vary depending on the underlying cause but could include topical treatments for hemorrhoids, dietary modifications to soften stools, and in some cases, surgical interventions for persistent or severe hemorrhoids.

In the meantime, consider implementing lifestyle changes that can help alleviate your symptoms. Increasing dietary fiber intake, staying hydrated, and avoiding straining during bowel movements can significantly improve your condition. Over-the-counter treatments for hemorrhoids, such as creams or suppositories, may provide temporary relief from discomfort.

In summary, the rice grain-like bumps you are feeling could be related to hemorrhoids, skin tags, or other benign conditions. The pain during pelvic floor contraction is likely due to muscle tension in response to discomfort. A consultation with a healthcare provider is essential for accurate diagnosis and appropriate management.