External Hemorrhoids: Symptoms, Treatment, and When to See a Doctor - Surgery

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External hemorrhoids, commonly referred to as "piles," are swollen veins located around the anus or lower rectum. They can be quite uncomfortable and are often associated with symptoms such as pain, itching, and bleeding during bowel movements. The condition can be exacerbated by prolonged standing or sitting, straining during bowel movements, or increased pressure on the veins in the rectal area, which can occur during pregnancy or due to obesity.

In your case, the symptoms you describe—pain around the anus and the presence of a small, round lump—are consistent with external hemorrhoids, particularly if the lump is tender and you experience pain when standing for long periods. The lump you mentioned may indeed be a thrombosed hemorrhoid, which occurs when a blood clot forms in the hemorrhoidal vein, leading to swelling and pain.


Treatment Options
1. Over-the-Counter Medications: Many people find relief using over-the-counter hemorrhoid creams or ointments that contain ingredients like hydrocortisone or witch hazel. These can help reduce inflammation and alleviate discomfort. However, if the hemorrhoid is thrombosed, these topical treatments may not be sufficient to relieve pain.

2. Home Remedies: In addition to topical treatments, several home remedies can help manage symptoms:
- Warm Sitz Baths: Soaking the affected area in warm water for 10-15 minutes several times a day can help reduce swelling and relieve pain.

- Cold Compresses: Applying a cold pack to the area can help reduce swelling and numb the pain.

- Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements, which can alleviate pressure on hemorrhoids.

3. When to See a Doctor: While many cases of external hemorrhoids can be managed at home, there are certain situations where you should consult a healthcare professional:
- If the pain becomes severe or unbearable.

- If you notice significant bleeding, especially if it is bright red and persistent.

- If the lump does not improve or worsens after a few days of home treatment.

- If you experience any signs of infection, such as fever or increased redness and swelling around the hemorrhoid.


Conclusion
In summary, while you may find relief using over-the-counter treatments and home remedies, it is essential to monitor your symptoms closely. If you do not see improvement within a few days or if your symptoms worsen, it would be wise to consult a doctor. They can provide a more thorough examination and discuss additional treatment options, which may include procedures to remove or reduce the hemorrhoid if necessary.

Remember, while external hemorrhoids are common and often manageable, it’s always best to err on the side of caution and seek medical advice if you have any concerns about your symptoms.