Rectal Foreign Bodies: When to Seek Medical Attention - Surgery

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Rectal foreign body


Hello Doctor, I have been struggling with constipation, sometimes going 2 to 3 days without a bowel movement.
I have experienced some bleeding during bowel movements in the past due to straining, but since the bleeding has been intermittent, I didn't pay much attention to it, thinking it would resolve on its own.
Fortunately, I haven't had any bleeding in the last few months.
Recently, due to a cold, I've been coughing for almost two weeks, although I am starting to improve.
Additionally, I have a habit of staying up late.
Last night, I noticed a small growth around my anus, which seems to have part of it inside.
It doesn't hurt, but I feel like there's something there.
Should I see a doctor now, or can I buy some medication at the pharmacy to apply? If so, what kind should I buy? Or should I wait and observe for a while? Thank you.

Zhong, 20~29 year old female. Ask Date: 2012/04/14

Dr. Ke Fangxu reply Surgery


Based on your description, it seems likely that you have thrombosed hemorrhoids, which are generally caused by straining that leads to localized congestion in the anal area.
If there is no pain, using an over-the-counter hemorrhoid ointment or taking warm sitz baths can help alleviate symptoms.
However, if symptoms do not improve after a week, it is important to seek medical attention to avoid misdiagnosing the condition.

Reply Date: 2012/04/14

More Info


When it comes to rectal foreign bodies and related symptoms, it is essential to understand the potential implications and when to seek medical attention. Based on your description, you have a history of constipation, occasional rectal bleeding, and now a new growth near the anus. Let's break down your situation and provide guidance on the best course of action.


Understanding Your Symptoms
1. Constipation: Chronic constipation can lead to straining during bowel movements, which may cause small tears in the anal tissue (anal fissures) and result in bleeding. It's crucial to address constipation through dietary changes, increased hydration, and possibly the use of stool softeners or laxatives.

2. Rectal Bleeding: Occasional bleeding, especially if it is minor and associated with straining, can often be attributed to hemorrhoids or anal fissures. However, any new or persistent bleeding should be evaluated by a healthcare professional to rule out more serious conditions.

3. New Growth: The appearance of a small growth or lump near the anus can be concerning. While it may be a hemorrhoid or a benign condition like a skin tag, it could also indicate other issues that require medical evaluation. The fact that it is painless is somewhat reassuring, but it does not eliminate the need for assessment.


When to Seek Medical Attention
Given your symptoms, here are some guidelines on when to seek medical attention:
- Immediate Attention: If you experience significant pain, heavy bleeding, or if the growth changes in size, color, or becomes painful, you should seek medical attention promptly.

- Routine Evaluation: Given your history of constipation and the new growth, it would be wise to schedule an appointment with a healthcare provider. They can perform a physical examination and possibly recommend further tests, such as a colonoscopy, to ensure there are no underlying issues.

- Self-Care Measures: While over-the-counter treatments may provide temporary relief for hemorrhoids or minor anal discomfort, they are not a substitute for professional evaluation. If you choose to use topical treatments, look for products containing hydrocortisone or witch hazel, which can help reduce inflammation and discomfort.


Recommendations
1. Dietary Changes: Increase your fiber intake through fruits, vegetables, and whole grains to help alleviate constipation. Consider drinking plenty of water and engaging in regular physical activity.

2. Monitor Symptoms: Keep track of any changes in your symptoms, including the size or nature of the growth, any changes in bowel habits, and the presence of pain or bleeding.

3. Schedule a Doctor's Visit: It is advisable to see a healthcare provider soon, especially since you have had a persistent cough and other health issues recently. They can provide a thorough evaluation and determine if any treatment is necessary.

4. Avoid Self-Diagnosis: While it may be tempting to self-diagnose or treat with over-the-counter medications, it is essential to have a professional assessment to ensure proper care and avoid complications.

In conclusion, while some of your symptoms may seem manageable, the presence of a new growth and your history of rectal bleeding warrant a medical evaluation. Seeking timely medical advice can help prevent potential complications and ensure that any underlying conditions are appropriately addressed.

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