Persistent Pain from Hemorrhoids: Seeking Relief Beyond Surgery - Surgery

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Persistent pain from hemorrhoids can be a challenging issue, especially when it is compounded by complications such as anal fissures. Your experience of severe pain following a bowel movement, along with the presence of mixed hemorrhoids and an anal fissure, is not uncommon. Let's explore the situation in more detail.

Firstly, hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified as either internal or external, and in your case, it seems you are dealing with mixed hemorrhoids, which means you have both types. The fact that you experienced a significant amount of pain after straining during a bowel movement is indicative of the pressure and trauma that can exacerbate hemorrhoidal symptoms. When you mentioned that a "large piece" fell out, it is likely that this was a prolapsed hemorrhoid, which can occur when the hemorrhoid extends beyond the anal canal.

The pain you are experiencing, especially if it lasts for hours after a bowel movement, suggests that there may be inflammation and irritation in the area. The combination of hemorrhoids and an anal fissure can create a cycle of pain and discomfort. An anal fissure is a small tear in the lining of the anus, often caused by passing hard stools or straining during bowel movements. This can lead to sharp pain during and after bowel movements, which may explain the prolonged discomfort you are experiencing.

You mentioned that you have been using medications and sitz baths, which are excellent conservative measures. Sitz baths can help soothe the area, reduce inflammation, and promote healing. However, if you are still experiencing significant pain, it may be time to consider further evaluation and treatment options.

While you are currently exploring traditional Chinese medicine, it is essential to keep an open line of communication with your healthcare provider. If the pain persists and significantly affects your quality of life, returning to a Western medical approach may be necessary. Surgical options, while daunting, can provide relief for persistent hemorrhoids and fissures, especially if conservative treatments fail. Procedures such as hemorrhoidectomy or less invasive options like rubber band ligation can be effective in managing symptoms.

In addition to medical treatments, lifestyle modifications can also play a crucial role in managing hemorrhoids. Increasing your water intake, consuming a high-fiber diet, and avoiding straining during bowel movements can help prevent the worsening of your condition. If you find that your stools are hard, consider using a stool softener to ease the passage of stool and reduce strain.

In summary, while it is encouraging that you have noticed some improvement with the use of topical treatments, the persistent pain after bowel movements suggests that further evaluation may be warranted. It is advisable to consult with a healthcare provider who can assess your condition more thoroughly and discuss potential treatment options, including the possibility of surgical intervention if necessary. Remember, managing hemorrhoids and associated pain often requires a multifaceted approach, and finding the right balance of treatments is key to achieving relief.