Painful Bowel Movements: Is It Hemorrhoids?

Experiencing pain in the buttocks during bowel movements is common?

It seems that this condition has been present for a long time, but I just didn't pay attention to it before! Today, while having a bowel movement, I experienced significant pain in my rectum from straining.
After using the restroom, I usually rinse with a handheld showerhead, and when my hand touched the area around the anus, I noticed three small, soft lumps around the outside of the anus.
They feel like "blisters" and sometimes retract into the anal canal, but they are itchy.
I previously thought it might be "roundworms," but tests showed negative results.
I'm not sure what the issue is.
In the summer, I often experience itching, but in the winter, when the weather is drier, I don't have this problem.
I would like to ask if this situation could be hemorrhoids, and if so, what should I do? Thank you.

A-Hua, 20~29 year old female. Ask Date: 2006/10/11

Dr. Hou Yongji reply Surgery

Based on your description, it may be a chronic anal fissure.
Please seek treatment from a nearby colorectal surgeon as soon as possible.
Here is a list of colorectal surgeons: D:\2F\Taiwan Society of Colon and Rectal Surgeons.htm Dr.
Hou Yong-ji.

Reply Date: 2006/10/11

More Info

Based on the symptoms you've described, it does sound like you may be experiencing hemorrhoids, which are swollen veins in the lower rectum and anus that can cause discomfort, itching, and pain, especially during bowel movements. Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and are usually painless, while external hemorrhoids are located under the skin around the anus and can be painful, especially when they become thrombosed (develop a blood clot).

The presence of "three small soft lumps" around your anus that feel like "blisters" and can sometimes retract into the anus is consistent with external hemorrhoids. The itching you experience, particularly in the summer, could be due to moisture and irritation in that area, which is common with hemorrhoids. The pain during bowel movements, especially when straining, is also a typical symptom.

Here are some recommendations for managing your symptoms:
1. Dietary Changes: To prevent constipation and reduce straining during bowel movements, increase your fiber intake. This can be achieved by consuming more fruits, vegetables, whole grains, and legumes. Additionally, ensure you are drinking plenty of water throughout the day to help soften your stool.

2. Over-the-Counter Treatments: There are various over-the-counter creams and ointments specifically designed to relieve hemorrhoid symptoms. These may contain hydrocortisone or witch hazel, which can help reduce inflammation and itching.

3. Warm Baths: Taking warm baths (sitz baths) for about 10-15 minutes several times a day can help soothe the area and alleviate discomfort.

4. Avoid Straining: When you feel the urge to have a bowel movement, try to go as soon as possible. Avoid straining, as this can exacerbate hemorrhoids. If you find it difficult to pass stool, consider using a stool softener or a fiber supplement.

5. Good Hygiene: After bowel movements, gently clean the area with mild soap and water. Avoid using harsh wipes or toilet paper that can irritate the skin further. Pat the area dry instead of rubbing.

6. Avoid Prolonged Sitting: If your lifestyle involves sitting for long periods, try to take breaks to stand up and move around. This can help reduce pressure on the rectal area.

7. Consult a Healthcare Provider: If your symptoms persist or worsen, it’s important to consult a healthcare provider. They can perform a physical examination and may recommend additional treatments, such as rubber band ligation, sclerotherapy, or even surgical options if necessary.

8. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, bleeding, or changes in the lumps you feel. If you experience significant bleeding or severe pain, seek medical attention promptly.

In summary, while your symptoms are suggestive of hemorrhoids, it is essential to consult a healthcare professional for an accurate diagnosis and tailored treatment plan. They can also rule out other conditions that may present with similar symptoms, such as anal fissures or skin tags. Taking proactive steps to manage your symptoms can significantly improve your quality of life and prevent future flare-ups.

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