Constipation and Anal Growth: When to Seek Medical Help

Q: Constipation and Anal Growth: When to Seek Medical Help

Hello： The situation you mentioned may be due to constipation, which causes the blood vessels around the anus to become engorged, leading to hemorrhoids. <br>The presence of hard stools and straining during bowel movements can cause the hemorrhoids to rupture, resulting in fresh

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Hello, doctor...
I would like to ask you some questions, and I appreciate your answers...
I have been experiencing constipation, and sometimes when I have a bowel movement, a small lump appears at the anus.
It is not very painful, but it disappears after a few days.
Previously, when I was taking weight loss pills, my bowel movements were smooth, and I didn't have the small lump.
However, now that I have stopped taking them, not only do I have the lump, but there is also bright red blood, and my stools are very hard...
However, my abdomen does not hurt much.
Is this related to constipation? Is the hard stool injuring my intestines? Or...
should I seek immediate medical attention, or can I improve this by eating more fruits and vegetables? Thank you, doctor, for your response.

ABC, 20~29 year old female. Ask Date: 2004/06/16

Dr. Chen Zhiping reply Gastroenterology and Hepatology

Hello: The situation you mentioned may be due to constipation, which causes the blood vessels around the anus to become engorged, leading to hemorrhoids.
The presence of hard stools and straining during bowel movements can cause the hemorrhoids to rupture, resulting in fresh blood.
It is recommended that you increase your intake of fruits and vegetables, drink plenty of water, exercise, and avoid alcohol and spicy or irritating foods.
If bowel movements do not improve and there is still bleeding from small growths, it is advisable to visit a hospital's colorectal surgery outpatient department, where ligation treatment may be necessary.
Sincerely, Dr.
Chen Zhi-Ping, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/06/16

More Info

Constipation and the presence of anal growths, such as small lumps or hemorrhoids, can be concerning symptoms that warrant medical attention. Based on your description, it seems you are experiencing a combination of constipation, hard stools, and the occasional appearance of a small growth around the anus, which may be indicative of hemorrhoids or anal tags. The presence of bright red blood during bowel movements is particularly important to address, as it can indicate irritation or injury to the anal area.

Constipation is defined as having fewer than three bowel movements per week, and it can be caused by various factors, including a low-fiber diet, dehydration, lack of physical activity, and certain medications. When stools become hard and difficult to pass, they can cause strain during bowel movements, leading to the development of hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and bleeding, especially during bowel movements.

The small growths you are noticing may be hemorrhoids or anal tags, which can occur as a result of chronic straining or increased pressure in the anal area. While these growths may not always be painful, their presence, especially when accompanied by bleeding, should not be ignored. The blood you are seeing could be due to the hard stools causing small tears in the anal lining, known as anal fissures, or it could be related to hemorrhoids.

In your case, since you have mentioned that the blood is bright red and that you are experiencing hard stools, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination to determine the cause of your symptoms and rule out any serious conditions. They may recommend treatments such as dietary changes, increased fluid intake, and possibly medications to help soften your stools and alleviate constipation.

In the meantime, increasing your intake of fruits, vegetables, and whole grains can help improve your bowel movements. Foods high in fiber can add bulk to your stool and make it easier to pass. Additionally, staying hydrated by drinking plenty of water is crucial for preventing constipation. Regular physical activity can also promote healthy digestion and bowel function.

If you notice any worsening of your symptoms, such as increased pain, persistent bleeding, or changes in bowel habits, it is essential to seek medical help promptly. While lifestyle changes can significantly improve constipation, the presence of anal growths and bleeding should be evaluated by a healthcare professional to ensure proper diagnosis and treatment.

In summary, while dietary adjustments and increased fiber intake can help alleviate constipation, the presence of anal growths and bleeding is a sign that you should consult a healthcare provider. They can provide a comprehensive evaluation and recommend appropriate treatment options tailored to your specific needs. Remember, it is always better to err on the side of caution when it comes to your health.

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