Hemorrhoids: Symptoms, Self-Care, and When to Seek Help

Could you please provide more details regarding the issue of hemorrhoids?

Hello, doctor.
I would like to inquire about my condition: I have had a bowel movement habit of about every 2-3 days since childhood, which is considered habitual constipation.
For over a year, I have felt a slight sensation of something being expelled during bowel movements, which I suspect might be early-stage internal hemorrhoids.
However, since it hasn't been severe, I haven't sought medical attention.
I tend to have a light diet and exercise regularly.
After making these lifestyle adjustments, even the occasional blood streaks disappeared, leading me to believe I had improved.
However, last week during yoga, I exerted myself too much and felt something expel from my body.
Upon returning home, I noticed a small protruding lump (about the size of half a pinky finger).
After researching online, I suspect it might be stage three internal hemorrhoids or an external hemorrhoid.
Consequently, I began taking some remedial actions, including: warm sitz baths for 5-10 minutes twice a day, purchasing over-the-counter medication for hemorrhoids (hoping to reduce inflammation), and performing Kegel exercises while standing (which feels like squeezing the buttocks, though I'm unsure if I'm doing it correctly).
Currently, the issue I'm facing is that while the lump can be pushed back in, it reappears after movement or sneezing.
I have been applying medication and then pushing it back in after some time, but I'm concerned whether doing this too frequently might worsen the situation.
I also had a successful bowel movement yesterday, which was painless and without blood, feeling more like a pimple (only painful when touched).

Since I'm a bit hesitant to seek medical advice in person, I would like to ask if my current approach is appropriate and if there are any additional precautions I should take.
Thank you! :)

Kara, 20~29 year old female. Ask Date: 2010/11/02

Dr. Hou Yongji reply Surgery

Based on your description, it is not possible to provide clear and accurate treatment recommendations.
Please seek a nearby colorectal surgeon for evaluation and treatment as soon as possible.
Thank you, and here is a list of specialists.

Reply Date: 2010/11/02

More Info

Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Understanding the symptoms, self-care strategies, and when to seek medical help is crucial for managing this condition effectively.

Symptoms of Hemorrhoids
Common symptoms of hemorrhoids include:
1. Bleeding: Bright red blood on toilet paper or in the toilet bowl after a bowel movement.

2. Pain or Discomfort: Pain during bowel movements or when sitting, especially with external hemorrhoids.

3. Swelling: A lump near the anus, which may be sensitive or painful.

4. Itching or Irritation: Itching around the anal area due to irritation from mucus or stool.

In your case, it seems you have experienced some of these symptoms, particularly the sensation of a protruding mass during yoga and the ability to push it back in. This suggests that you may be dealing with either internal or external hemorrhoids, possibly exacerbated by your previous constipation and the strain during yoga.

Self-Care Strategies
You have already taken some commendable steps towards managing your condition:
1. Warm Sitz Baths: Soaking in warm water for 5-10 minutes can help soothe the area and reduce swelling.

2. Over-the-Counter Treatments: Using topical treatments like hydrocortisone cream or witch hazel can help alleviate itching and inflammation.

3. Dietary Adjustments: Maintaining a high-fiber diet and staying hydrated can help prevent constipation, which is crucial for hemorrhoid management. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

4. Exercise: Regular physical activity can help promote bowel regularity and reduce the risk of constipation.

5. Kegel Exercises: These can strengthen the pelvic floor muscles, which may help support the rectal area.

When to Seek Medical Help
While self-care can be effective, there are certain situations where you should consider seeking medical attention:
1. Persistent Symptoms: If your symptoms do not improve with self-care measures within a week or two, it’s advisable to consult a healthcare provider.

2. Severe Pain or Bleeding: If you experience significant pain or heavy bleeding, you should seek immediate medical attention.

3. Prolapsed Hemorrhoids: If the hemorrhoid cannot be pushed back in or if it becomes painful and swollen, this may require medical intervention.

4. Changes in Bowel Habits: If you notice changes in your bowel habits, such as persistent diarrhea or constipation, it’s important to discuss this with a doctor.

Conclusion
It’s understandable to feel hesitant about seeking medical help, but it’s important to prioritize your health. Hemorrhoids are a common condition, and healthcare providers can offer effective treatments that may not be available over-the-counter. If your symptoms persist or worsen, do not hesitate to reach out to a healthcare professional for a thorough evaluation and tailored treatment plan.

In summary, while your current self-care strategies are beneficial, monitoring your symptoms and being open to medical advice is essential for effective management of hemorrhoids. Remember, early intervention can prevent complications and improve your quality of life.

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