Is It Hemorrhoids? Symptoms and When to Seek Help - Surgery

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Based on your description, it sounds like you are experiencing a condition that could be related to either a skin issue, such as folliculitis, or possibly hemorrhoids. The symptoms you describe—swelling, the presence of pus or blood, and persistent healing issues—are concerning and warrant further evaluation.

Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, bleeding, and sometimes a lump near the anus. They can be classified as either internal or external. Internal hemorrhoids are usually not visible and can cause bleeding during bowel movements, while external hemorrhoids can cause pain and swelling around the anus. The fact that you are experiencing bleeding during bowel movements and have a lump near the anal area suggests that it could be hemorrhoids, especially if the lump is painful or itchy.

On the other hand, folliculitis is an inflammation of the hair follicles, which can occur anywhere on the body, including the buttocks. It can present as red, swollen bumps that may ooze pus or blood when they rupture. If you have a history of recurrent folliculitis in the area, it is possible that what you are experiencing is a complication of that condition.

Given that your symptoms have persisted for half a month and include bleeding, it is essential to seek medical attention. While over-the-counter treatments may provide temporary relief, they are not a substitute for professional evaluation, especially since the wound has not healed and is recurring.
You should consider visiting a healthcare provider who specializes in gastrointestinal issues or a general surgeon, as they can evaluate your symptoms in the context of both hemorrhoids and other potential skin conditions. A proctologist, who specializes in disorders of the rectum and anus, would also be an appropriate choice.
During your appointment, be prepared to discuss your symptoms in detail, including when they started, any changes in your bowel habits, and any treatments you have already tried. This information will help your doctor make an accurate diagnosis and recommend the best course of treatment.
In the meantime, here are some general recommendations to help manage your symptoms:
1. Warm Sitz Baths: Soaking in warm water several times a day can help reduce swelling and discomfort.

2. Over-the-Counter Pain Relief: Medications like ibuprofen or acetaminophen can help alleviate pain.

3. Topical Treatments: If you suspect hemorrhoids, topical creams specifically designed for hemorrhoid relief may provide some comfort.

4. Dietary Changes: Increasing fiber intake and staying hydrated can help prevent constipation, which can exacerbate hemorrhoid symptoms.

5. Avoid Straining: Try to avoid straining during bowel movements, as this can worsen hemorrhoids.

In conclusion, while your symptoms may suggest hemorrhoids or a skin infection, a proper diagnosis from a healthcare professional is crucial. Do not hesitate to seek medical help, as early intervention can prevent complications and lead to more effective treatment.