Hemorrhoids: Symptoms, Types, and When to Seek Help - Surgery

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Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort and various symptoms. They are classified into two main types: internal and external hemorrhoids. Internal hemorrhoids are located inside the rectum and are usually not visible or palpable. They may cause bleeding during bowel movements but are often painless. External hemorrhoids, on the other hand, are located under the skin around the anus and can be felt as lumps. They may cause pain, itching, and discomfort, especially during bowel movements.

Based on your description, the soft lump near your anus that is purple and about the size of a coin could potentially be an external hemorrhoid or a thrombosed hemorrhoid, especially since you mentioned experiencing occasional constipation and straining during bowel movements. A thrombosed hemorrhoid occurs when a blood clot forms in an external hemorrhoid, leading to swelling and a bluish or purplish color. While you noted that the lump is not painful, does not itch, and has not changed in size or caused bleeding, it is still important to monitor the situation.

The classification of hemorrhoids into grades can help determine the severity. Grade I hemorrhoids are small and do not prolapse (protrude outside the anus). Grade II hemorrhoids may prolapse during bowel movements but reduce spontaneously. Grade III hemorrhoids prolapse and require manual reduction, while Grade IV hemorrhoids are permanently prolapsed and may become thrombosed. Based on your description, it seems that your condition may align more closely with Grade I or possibly Grade II, given the occasional straining during bowel movements.

While your symptoms may not seem severe, it is essential to consider a few factors. First, the presence of a lump that has persisted for several months warrants a medical evaluation to rule out other conditions, such as anal warts, skin tags, or even more serious issues like anal fissures or tumors. Even in the absence of pain or bleeding, any new or unusual growth should be assessed by a healthcare professional.

In terms of treatment and management, lifestyle modifications can be beneficial. Increasing dietary fiber intake, staying hydrated, and avoiding straining during bowel movements can help prevent constipation and reduce the risk of hemorrhoid flare-ups. Over-the-counter treatments, such as topical creams or ointments, may provide relief from discomfort and itching.

If you notice any changes in the lump, such as increased size, pain, or bleeding, or if your symptoms worsen, it is crucial to seek medical attention promptly. A healthcare provider can perform a physical examination and may recommend further diagnostic tests if necessary. In some cases, if conservative measures do not provide relief, medical procedures may be considered to remove or reduce the hemorrhoids.

In summary, while your symptoms may suggest a mild case of hemorrhoids, it is advisable to consult a healthcare professional for a thorough evaluation. They can provide a definitive diagnosis and recommend appropriate treatment options tailored to your specific situation. Taking proactive steps to manage your bowel health and seeking medical advice when needed can help ensure your well-being.