Is It Hemorrhoids? Rectal Symptoms and Concerns - Gastroenterology and Hepatology

Could this be hemorrhoids?

Hello, doctor! Two weeks ago, I noticed that the shape of my stool had become flat, and I experienced some difficulty during bowel movements (requiring slight straining).
After researching online, most of the information pointed towards colorectal cancer, which made me very anxious.
Therefore, last Tuesday, I went to the hospital for a colonoscopy, and the results were normal; the doctor said my intestines are very healthy.
However, in the past week, I have felt a sensation of fullness and moisture around the anus, especially when sitting, which is more pronounced when pressure is applied to the buttocks.
Additionally, after having a bowel movement, it takes a long time to clean up (about 10 sheets of toilet paper, which is quite wasteful).
Sometimes, if I wipe too long or too hard, there are pinkish marks on the toilet paper.
As for my stool, it is still somewhat flat, with a diameter of about 2.5 centimeters.
Furthermore, my bowel habits remain normal with no changes, no blood in the stool (brownish-yellow or coffee-colored), and no gastrointestinal discomfort; I just feel something unusual around the anus.
Therefore, I would like to ask if this is hemorrhoids or some other condition? Do I need to get further checked? Lastly, thank you for taking the time to read my question.
Thank you.

Nicholas, 20~29 year old female. Ask Date: 2005/10/21

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello Nicholas,
Your symptoms are more related to anal and rectal conditions such as internal hemorrhoids.
You may receive treatment with suppositories or ointments from a gastroenterologist or a colorectal specialist.
Wishing you good health.

Best regards,
Chen Shidian

Reply Date: 2005/10/21

More Info

When discussing rectal symptoms and concerns, particularly in the context of potential hemorrhoids, it is essential to understand the nature of the symptoms and the underlying conditions that could be contributing to them. Based on your description, it seems you have experienced changes in your bowel habits, specifically with the shape of your stools and some discomfort around the anal area.

Firstly, it's important to clarify what hemorrhoids are. Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be classified into two types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Symptoms of hemorrhoids can include pain, discomfort, swelling, and sometimes bleeding during bowel movements.

Your experience of a "bulging" sensation and increased moisture around the anus, particularly when sitting, could indeed suggest the presence of hemorrhoids. The fact that you are experiencing a need to wipe excessively after bowel movements, along with the sensation of incomplete evacuation, can also be associated with hemorrhoids or other anal conditions. The pinkish stains on the toilet paper after wiping could indicate irritation or minor bleeding, which can occur with hemorrhoids, especially if there is straining during bowel movements.

However, it is also crucial to consider other potential causes for your symptoms. Given that your colonoscopy results were normal, it is less likely that you have a serious condition such as colorectal cancer. Nevertheless, the presence of flat stools can sometimes be a sign of an obstruction or narrowing in the colon, which is why it is essential to monitor any changes in your bowel habits closely.

In terms of next steps, if your symptoms persist or worsen, it would be advisable to consult with a healthcare provider, preferably a gastroenterologist or a colorectal surgeon. They can perform a thorough examination, which may include a digital rectal exam or anoscopy, to evaluate for hemorrhoids or other conditions such as anal fissures or skin tags.

In the meantime, there are several self-care measures you can take to alleviate your symptoms. Increasing your fiber intake through fruits, vegetables, and whole grains can help soften your stools and reduce straining during bowel movements. Staying well-hydrated is also important. Over-the-counter treatments, such as topical creams or ointments specifically designed for hemorrhoids, can provide relief from discomfort and inflammation.

If you find that your symptoms do not improve with these measures or if you experience significant pain, bleeding, or changes in your bowel habits, it is crucial to seek medical attention promptly. Early intervention can help prevent complications and improve your quality of life.

In summary, while your symptoms may suggest hemorrhoids, it is essential to continue monitoring them and consult with a healthcare professional if they persist. Understanding the nature of your symptoms and addressing them with appropriate lifestyle changes and medical care can help you manage your concerns effectively.

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