Is It External Hemorrhoids? Symptoms and Treatment Options - Surgery

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Based on your description, it sounds like you may be dealing with external hemorrhoids, but there are other possibilities as well. External hemorrhoids are swollen veins located around the anus, and they can appear as soft lumps or "piles" at the anal opening. They are typically dark purple or bluish in color, which aligns with your observation of dark brown lesions. However, the fact that they are not painful or itchy, and that you have not experienced any bleeding during bowel movements, suggests that they may not be inflamed or thrombosed, which are common complications of hemorrhoids.

It's important to note that there are other conditions that can present similarly, such as skin tags, anal warts, or even benign tumors. Skin tags, for example, are often flesh-colored or slightly darker and can appear near the anal region without causing discomfort. Anal warts, caused by the human papillomavirus (HPV), can also present as small growths around the anus.

Given that your symptoms are mild and you are not experiencing significant discomfort, it may not be urgent to see a doctor immediately. However, it is advisable to consult a healthcare professional for a proper diagnosis, especially if the growths change in size, color, or if you start experiencing pain or bleeding. A healthcare provider can perform a physical examination and may recommend further tests if necessary.

In terms of treatment, if these are indeed external hemorrhoids and they are not causing any symptoms, treatment may not be necessary. Many people manage mild hemorrhoids with conservative measures, including:
1. Warm Sitz Baths: Soaking in warm water for 10-15 minutes several times a day can help relieve discomfort and promote healing.

2. Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can provide relief from itching or discomfort.

3. Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help prevent constipation and reduce straining during bowel movements, which can exacerbate hemorrhoids.

4. Hydration: Drinking plenty of water can help keep stools soft and easier to pass.

If you notice any changes or if symptoms worsen, it would be prudent to seek medical advice. A healthcare provider can offer more specific treatments, such as rubber band ligation or sclerotherapy, if necessary.

In summary, while it is possible that what you are experiencing is external hemorrhoids, there are other conditions that could be responsible for the growths you described. Monitoring your symptoms and consulting with a healthcare professional for an accurate diagnosis is the best course of action.