Do I Have Hemorrhoids? Symptoms and When to Seek Help - Surgery

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Every time after having a bowel movement, I need to push again?


Do I have hemorrhoids? Symptoms: 1.
I have normal bowel movements 1-2 times every morning, and my stools are soft (I have good bowel habits).
2.
I almost always notice blood when wiping, sometimes a significant amount (I wipe gently).
3.
Occasionally, there is mucus on the stool or around the anus.
4.
My diet is very balanced.
5.
Once, after a bowel movement, I had to push a piece back in, but usually, there is a little that needs to be pushed back to avoid discomfort.
6.
Currently, there is a small protrusion that has been painful for two days, but there was no bleeding after bowel movements; when I push it back, it tends to come out again after a while.
Should I see a doctor now? Can I see a doctor while on my menstrual period? Is it appropriate to see a doctor when there is no pain or protrusion?

Bing, 20~29 year old female. Ask Date: 2005/01/03

Dr. Hou Yongji reply Surgery


Hello: 1.
Please seek a consultation with a colorectal surgeon as soon as possible.
2.
Based on your description, a definitive diagnosis cannot be made; it is advisable to seek medical attention promptly, preferably avoiding your menstrual period.

Reply Date: 2005/01/03

More Info


Based on your symptoms and description, it does sound like you may be experiencing hemorrhoids, also known as piles. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, bleeding, and other symptoms. Let’s break down your symptoms and discuss when you should seek medical help.

1. Bleeding: You mentioned that you notice blood when wiping after a bowel movement, and sometimes a significant amount. This is a common symptom of hemorrhoids, particularly if the blood is bright red and appears on the toilet paper or in the toilet bowl. However, bleeding can also be a sign of other conditions, such as anal fissures or more serious issues like colorectal cancer, so it’s important to take this symptom seriously.

2. Mucus: The presence of mucus on your stool or around your anus can also be associated with hemorrhoids. This can occur due to irritation in the anal area.

3. Prolapse: You described a situation where your stool would sometimes protrude from the anus, requiring you to push it back in. This is indicative of a prolapsed hemorrhoid, which occurs when the hemorrhoid extends outside the anal canal. This can be uncomfortable and may require treatment.

4. Pain: You mentioned experiencing pain for a couple of days. While hemorrhoids can be painful, especially when they become thrombosed (when a blood clot forms), the pain can vary. If the pain is severe or persistent, it’s a sign that you should seek medical attention.

5. Bowel Habits: You noted that you have regular bowel movements and that your stools are soft. This is good, as straining during bowel movements can exacerbate hemorrhoids. Maintaining a high-fiber diet and staying hydrated can help keep your stools soft and reduce the risk of hemorrhoids worsening.


When to Seek Help
Given your symptoms, it would be advisable to see a healthcare provider, especially since you are experiencing bleeding and pain. Here are some guidelines on when to seek medical attention:
- Persistent Bleeding: If you notice blood in your stool or on toilet paper consistently, it's important to consult a doctor.

- Severe Pain: If the pain becomes unbearable or does not improve with over-the-counter treatments, you should seek medical advice.

- Changes in Bowel Habits: If you experience changes in your bowel habits, such as diarrhea or constipation, along with your current symptoms, it’s worth discussing with a healthcare professional.

- Prolapse: If the hemorrhoid is protruding and not retracting, or if it becomes painful, it’s time to see a doctor.


Can You See a Doctor During Menstruation?
Yes, you can see a doctor during your menstrual period. Your menstrual cycle should not interfere with a medical examination for hemorrhoids. If you are concerned about your symptoms, it is better to seek help sooner rather than later.


Conclusion
In summary, while your symptoms suggest that you may have hemorrhoids, it’s crucial to consult a healthcare provider for a proper diagnosis and treatment plan. They may perform a physical examination and possibly recommend treatments ranging from lifestyle changes and over-the-counter medications to more invasive procedures if necessary. Don’t hesitate to reach out for help; addressing these symptoms early can lead to better outcomes and relief from discomfort.

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