Is This Hemorrhoids? Symptoms and Concerns - Gastroenterology and Hepatology

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Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding during bowel movements. Based on your description, it seems you have experienced symptoms consistent with hemorrhoids, particularly the presence of a lump after bowel movements and pain associated with sitting or walking.
The fact that you had rectal bleeding three years ago, followed by a lump that has persisted for several months, suggests that you may indeed be dealing with hemorrhoids. The lump you feel could be an external hemorrhoid, which is located under the skin around the anus, or it could be a thrombosed hemorrhoid, where a blood clot forms inside the swollen vein, leading to pain and discomfort.
It's important to note that while hemorrhoids are common and often not serious, they can sometimes be confused with other conditions, such as anal fissures, abscesses, or even more serious issues like rectal polyps or colorectal cancer. Therefore, it is crucial to have a thorough evaluation by a healthcare professional, especially since you have a history of rectal bleeding.
In terms of management, if your symptoms are mild and you are not experiencing significant pain or bleeding, conservative treatments may be sufficient. These can include dietary changes to increase fiber intake, over-the-counter topical treatments, and warm sitz baths to alleviate discomfort. However, if the lump persists, becomes painful, or if you experience any new symptoms such as increased bleeding, changes in bowel habits, or significant pain, it is advisable to seek medical attention promptly.

A healthcare provider may perform a physical examination and possibly recommend further diagnostic tests, such as a colonoscopy, to rule out other conditions. They can also discuss treatment options, which may include minimally invasive procedures or surgical options if conservative measures do not provide relief.

In summary, while your symptoms are suggestive of hemorrhoids, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate management. Early intervention can help prevent complications and improve your quality of life.