Hemorrhoids: Symptoms, Treatment, and When to See a Doctor

Q: Hemorrhoids: Symptoms, Treatment, and When to See a Doctor

Hello： In response to your question, small wounds causing perianal pain are generally due to anal fissures. <br>The cause is usually related to constipation or diarrhea, which can lead to tears in the anal area. <br>In mild cases, the sensation may be unusual, while in severe cas

Hemorrhoid issues?

Hello, I recently noticed a small soft lump near my anus while showering.
Could it be hemorrhoids? I discovered it on Sunday night, and it has been three days since then.
Initially, I used a flashlight and a mirror to examine it, and I found the small lump, but I also noticed a sore next to it.
I thought it might be due to wiping too hard after using the bathroom, which could have caused the soreness, leading to the pain.
However, now when I touch the lump, it hurts a bit, but if I don't touch it, I don't feel much discomfort.
I have been having normal bowel movements, never constipated, and there has been no blood or pain during bowel movements.
Everything seems normal, but touching the lump is uncomfortable.
My bowel movements are quick, and I don't strain.
I haven't experienced similar symptoms before.
Recently, I've been eating very few fruits and not drinking much water.
I'm a student and tend to sleep late, around midnight or 1 AM.
My mom suggested I try applying some topical ointment we have at home.
Is that okay? Given that I've only noticed this for three days, how should I treat it? Do I need medication, or is the ointment effective? What are the chances of healing? Is it difficult to treat, and is there a risk of recurrence? Should I see a doctor? I thought it would resolve on its own, but it seems to be getting slightly more uncomfortable than the previous day, though it's not unbearable; I only feel pain when I touch it.
I don't feel any pain while walking.

I'm sorry, but it, 10~19 year old female. Ask Date: 2005/03/30

Dr. Ke Fangxu reply Surgery

Hello: In response to your question, small wounds causing perianal pain are generally due to anal fissures.
The cause is usually related to constipation or diarrhea, which can lead to tears in the anal area.
In mild cases, the sensation may be unusual, while in severe cases, the pain can be intense enough to require a visit to the emergency room.
Treatment primarily involves topical medications; please avoid using ointments with unknown ingredients to prevent exacerbating the issue.
It is advisable to consult a colorectal specialist for proper diagnosis and treatment.
If the symptoms are not severe, taking warm sitz baths and avoiding irregular bowel movements can aid in recovery, but it is essential to avoid spicy foods to reduce irritation to the wound.

Reply Date: 2005/03/30

More Info

Hello! It sounds like you are experiencing some discomfort that may be related to hemorrhoids, which are swollen veins in the lower rectum and anus. They can cause symptoms such as pain, itching, and sometimes bleeding, especially during bowel movements. Let's break down your situation and discuss what you can do.

Symptoms and Identification
From your description, it seems you have noticed a soft lump near your anus, which could indeed be a hemorrhoid. The presence of a small wound nearby could be due to irritation from wiping too hard, which is common. The fact that you do not experience bleeding during bowel movements and that your stools are normal is a positive sign, as it suggests that you may not have a severe case.

When to See a Doctor
While many cases of hemorrhoids can be managed at home, there are certain situations where you should definitely see a doctor:
1. Severe Pain: If the pain becomes unbearable or significantly worsens.

2. Bleeding: If you notice blood in your stool or on toilet paper, even if it’s not during bowel movements.

3. Persistent Symptoms: If the lump does not improve or continues to cause discomfort after a few days of home treatment.

4. Changes in Bowel Habits: If you experience changes in your bowel habits, such as diarrhea or constipation.

Treatment Options
1. Home Remedies:
- Dietary Changes: Increase your fiber intake by eating more fruits, vegetables, and whole grains. This can help soften your stools and reduce straining during bowel movements.

- Hydration: Drink plenty of water to help prevent constipation.

- Warm Baths: Soaking in a warm bath can relieve discomfort and reduce swelling.

- Over-the-Counter Treatments: You can use topical treatments like hydrocortisone cream or witch hazel pads to relieve itching and discomfort. Applying a soothing ointment may also help.

2. Medications: If the discomfort persists, you might consider over-the-counter pain relievers like acetaminophen or ibuprofen to manage pain.

3. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can worsen hemorrhoids.

Prognosis and Recurrence
Most hemorrhoids can be treated effectively with lifestyle changes and home remedies. However, they can recur, especially if you do not maintain a high-fiber diet or proper hydration. If you find that your symptoms do not improve with home treatment, or if they worsen, it would be wise to consult a healthcare professional. They may recommend additional treatments, such as rubber band ligation or other minimally invasive procedures.

Conclusion
In summary, while it’s possible that what you’re experiencing is a hemorrhoid, monitoring your symptoms is key. If you notice any worsening or new symptoms, don’t hesitate to reach out to a healthcare provider. They can provide a thorough examination and recommend the best course of action tailored to your needs. In the meantime, focus on dietary changes, hydration, and gentle care of the affected area to promote healing. Take care!

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