Can Internal Hemorrhoids Cause Abdominal Pain? Expert Insights - Surgery

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Internal hemorrhoids can indeed cause abdominal pain, although the relationship may not be direct. Hemorrhoids are swollen veins in the lower rectum and anus, and while they primarily cause localized discomfort, they can also lead to referred pain in the abdominal area. This can happen for several reasons.

Firstly, the pain associated with internal hemorrhoids can cause a person to alter their posture or movements to avoid discomfort, which can lead to muscle tension and pain in the abdomen. Additionally, if the hemorrhoids are causing significant straining during bowel movements, this can lead to abdominal pain as well. Straining can increase intra-abdominal pressure, which may exacerbate any underlying gastrointestinal issues, leading to discomfort.

Moreover, the presence of hemorrhoids can sometimes be associated with other gastrointestinal conditions, such as constipation or irritable bowel syndrome (IBS), which can also contribute to abdominal pain. In your case, you mentioned that your bowel movements have been small and pellet-like, which could indicate constipation. This can lead to increased straining and discomfort, both in the rectal area and the abdomen.

It is also important to consider that while hemorrhoids are a common cause of rectal pain, other conditions could be at play. For example, conditions such as anal fissures, infections, or even gastrointestinal issues like diverticulitis or appendicitis could present with similar symptoms. Therefore, if the abdominal pain persists, it is crucial to seek further evaluation.

Given that you have already seen a physician who diagnosed you with internal hemorrhoids, and you are experiencing ongoing abdominal pain, it would be advisable to follow up with a gastroenterologist. They can perform a more comprehensive evaluation, which may include imaging studies or further gastrointestinal assessments to rule out other potential causes of your abdominal pain.

In the meantime, continue with the conservative management of your hemorrhoids, including the use of topical medications, warm sitz baths, and ensuring adequate hydration and fiber intake to promote regular bowel movements. If you notice any changes in your symptoms, such as increased pain, bleeding, or changes in bowel habits, do not hesitate to seek medical attention promptly.

In summary, while internal hemorrhoids can cause abdominal pain, it is essential to consider other potential causes, especially if the pain persists. Consulting with a gastroenterologist would be a prudent next step to ensure a thorough evaluation and appropriate management of your symptoms.