It is unclear whether it is hemorrhoids or simply a tear in the anal skin?
In recent days, I have experienced pain when wiping my bottom, and there is occasional discomfort when passing stool through the anus, particularly a sharp pain when touching the area with toilet paper.
There is no blood in my stool, and I am not constipated.
I bought "Yun Jun Xiao" from the pharmacy to apply, and it seems to have some effect.
Is this treatment appropriate? I am worried it might be hemorrhoids, but I feel it could just be a skin abrasion, which is quite bothersome.
Unless necessary, I would prefer not to see a doctor.
Afa, 20~29 year old female. Ask Date: 2008/03/05
Dr. Xu Kaixi reply Surgery
Dear Alpha,
Dr.
Hsu Kai-Hsi from the Tainan Hospital of the Department of Health Executive Yuan would like to inform you that the skin around the anus may become abrasions (what you referred to as "broken skin") due to external forces such as friction from stool or wiping.
Additionally, inflammation of hemorrhoids can also cause pain symptoms.
It is recommended that you visit the surgical outpatient clinic for a proper diagnosis and treatment.
Wishing you good health and all the best from the Surgical Department of Tainan Hospital.
Reply Date: 2008/03/05
More Info
When it comes to distinguishing between hemorrhoids and anal skin irritation, it's essential to understand the symptoms and underlying causes of each condition. Hemorrhoids are swollen veins in the lower rectum and anus, which can cause discomfort, pain, and sometimes bleeding during bowel movements. On the other hand, anal skin irritation can occur due to various factors, including friction, moisture, or skin conditions, leading to pain and discomfort without the presence of swollen veins.
Based on your description, you are experiencing pain during bowel movements and discomfort when wiping, but you have not noticed any bleeding or constipation. This could suggest that you might be dealing with anal skin irritation rather than hemorrhoids. The pain you feel when wiping could be due to irritation or inflammation of the skin around the anal area, which can occur from excessive wiping, moisture, or even certain hygiene products.
Using a topical treatment like "Yun Jun Xiao" (which is likely a topical ointment for skin irritation) can be a reasonable approach to alleviate discomfort. However, it's important to ensure that the product is suitable for use in that sensitive area and does not contain any irritating ingredients. If you find that the ointment provides some relief, it may indicate that your symptoms are indeed related to skin irritation.
Here are some additional recommendations to help manage your symptoms:
1. Gentle Hygiene Practices: When cleaning the anal area, use soft toilet paper or moistened wipes to minimize irritation. Avoid harsh soaps or products that may cause further irritation.
2. Keep the Area Dry: Moisture can exacerbate skin irritation. After bathing or using the restroom, ensure the area is thoroughly dried. You might consider using a gentle powder to keep the area dry, but avoid talc-based powders, as they can be irritating.
3. Avoid Straining: If you experience discomfort during bowel movements, try to avoid straining. Ensure you are consuming a diet rich in fiber and staying hydrated to promote regular bowel movements.
4. Warm Sitz Baths: Taking warm sitz baths can help soothe the area and reduce discomfort. This involves sitting in a few inches of warm water for about 15-20 minutes.
5. Monitor Symptoms: Keep an eye on your symptoms. If the pain persists, worsens, or if you notice any bleeding, it would be wise to consult a healthcare professional. While it may be uncomfortable to seek medical advice, a doctor can provide a proper diagnosis and treatment plan.
6. Consider Potential Allergens: Sometimes, skin irritation can be caused by allergic reactions to certain soaps, detergents, or even fabrics. Consider any recent changes in products you use that may have coincided with the onset of your symptoms.
While it is understandable to want to avoid a doctor's visit, especially if you are not experiencing severe symptoms, it is crucial to prioritize your health. If your symptoms do not improve with home care or if you develop new symptoms, seeking medical advice is the best course of action. A healthcare provider can perform a thorough examination and provide a definitive diagnosis, ensuring you receive the appropriate treatment for your condition.
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