Frequent Diarrhea and Painful Bump: Is It Hemorrhoids or Something Else?

One day, there was frequent diarrhea, and that night a protrusion was discovered around the anal area?

On the evening of March 22, 2022, I suddenly started experiencing frequent bowel movements, with each stool being watery.
Due to using toilet paper for wiping, I began to feel increasing pain that seemed like irritation or injury, although there was no bleeding.
After taking a shower that night, I noticed a soft protrusion around the anus.
It is mostly painless unless I wipe after using the restroom, which causes significant discomfort.
Could this be hemorrhoids, or is it indicative of another condition?

Hua Huo, 30~39 year old female. Ask Date: 2022/03/23

Dr. Zhang Shuhao reply Surgery

After frequent bowel movements, the hemorrhoidal tissue, which is rich in blood vessels, may become swollen.
If there is subcutaneous bleeding, a hemorrhoidal thrombosis may form, commonly referred to as a hemorrhoidal flare-up.
At this time, a warm sitz bath can be performed, along with anti-inflammatory pain relievers and hemorrhoid ointments to alleviate symptoms and address the underlying causes of diarrhea.
If symptoms persist, a consultation with a colorectal specialist for examination may be advisable.

Reply Date: 2022/03/23

More Info

Frequent diarrhea accompanied by a painful bump around the anus can indeed raise concerns about various conditions, including hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding, especially during bowel movements. Given your symptoms, it is plausible that you may be experiencing external hemorrhoids, particularly since you mentioned the presence of a soft bump and pain during wiping.

The sudden onset of diarrhea can lead to irritation of the anal area due to frequent wiping, which can exacerbate discomfort and potentially lead to the formation of hemorrhoids. The friction from wiping can cause inflammation and swelling in the area, resulting in the painful bump you described. However, it is essential to consider other potential causes for your symptoms as well.

Other conditions that could present similarly include anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools or frequent diarrhea. Fissures can cause sharp pain during and after bowel movements and may also lead to the formation of a bump if there is associated swelling. Additionally, conditions such as abscesses or skin tags could also be responsible for the bump and discomfort.

To address your concerns, it is crucial to seek medical evaluation. A healthcare professional can perform a physical examination to assess the bump and determine whether it is indeed hemorrhoids or another condition. They may also inquire about your bowel habits, dietary intake, and any other symptoms you may be experiencing to help narrow down the diagnosis.

In the meantime, there are several self-care measures you can take to alleviate your symptoms. These include:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet to help regulate your bowel movements and prevent further irritation. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

2. Hydration: Drink plenty of fluids to stay hydrated, which can help soften stools and reduce the strain during bowel movements.

3. Warm Baths: Soaking in a warm bath can provide relief from pain and discomfort in the anal area.

4. Over-the-Counter Treatments: You may consider using over-the-counter topical treatments designed for hemorrhoids, which can help reduce inflammation and pain.

5. Gentle Wiping: Use moist wipes instead of toilet paper to minimize irritation during cleaning after bowel movements.

If your symptoms persist or worsen, or if you experience additional symptoms such as bleeding, fever, or severe pain, it is essential to seek medical attention promptly. A healthcare provider can offer a definitive diagnosis and appropriate treatment options, which may include lifestyle modifications, medications, or, in some cases, surgical interventions if necessary.

In summary, while your symptoms may suggest hemorrhoids, it is vital to consult with a healthcare professional for an accurate diagnosis and tailored treatment plan. Taking proactive steps to manage your symptoms and seeking timely medical advice can help ensure a better outcome.

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