Should You See a Doctor for Possible Hemorrhoids Symptoms? - Surgery

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It seems like you have hemorrhoids. Should you see a doctor?


In mid-January, I noticed blood and pain while using the restroom.
Previously, I would only go when I felt the urge, and I often experienced constipation due to prolonged sitting from using the computer and studying.
I suspected it might be hemorrhoids.
Since the winter break, I have been taking care of my health and have established a routine of using the restroom at the same time every day.
The bleeding and pain have disappeared, but I have noticed a small pink growth outside my anus that sometimes feels uncomfortable, especially when riding a bike.
I experience a foreign body sensation and occasional pain.
Is there a way for it to heal naturally, or should I see a doctor to discuss the possibility of removal?

Mr. Lin, 10~19 year old female. Ask Date: 2016/02/11

Dr. Yu Mingchang reply Surgery


Hello: Please take some time to have a colorectal examination at Changhua Hospital of the Ministry of Health and Welfare.
We care about your health.

Reply Date: 2016/02/11

More Info


It sounds like you're experiencing symptoms that could be related to hemorrhoids, which are swollen veins in the lower rectum and anus. Given your description of blood during bowel movements, pain, and the presence of a pink lump near the anus, it is advisable to consult a healthcare professional for a thorough evaluation.
Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and typically do not cause pain, but they can bleed during bowel movements. External hemorrhoids, on the other hand, are located under the skin around the anus and can cause discomfort, especially if a blood clot forms in them, leading to a condition known as thrombosed hemorrhoids. The pink lump you mentioned could be an external hemorrhoid or a skin tag that sometimes develops after hemorrhoids heal.

While some individuals may find relief from mild symptoms through lifestyle changes, such as increasing fiber intake, staying hydrated, and avoiding prolonged sitting, it is essential to understand that not all hemorrhoids will resolve on their own. In fact, if the lump you are experiencing is indeed a hemorrhoid, it may require medical intervention, especially if it causes significant discomfort or does not improve with conservative measures.

Here are some steps you can take to manage your symptoms while you consider seeing a doctor:
1. Dietary Changes: Increase your fiber intake through fruits, vegetables, and whole grains to help soften your stool and reduce straining during bowel movements. This can help prevent further irritation of the hemorrhoids.

2. Hydration: Drink plenty of water to help keep your stool soft and promote regular bowel movements.

3. Warm Baths: Soaking in a warm bath can help relieve discomfort and reduce swelling in the affected area.

4. Over-the-Counter Treatments: There are various creams and ointments available that can provide temporary relief from pain and itching associated with hemorrhoids.

5. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids. Establishing a regular bathroom routine can help.

6. Exercise: Regular physical activity can help improve bowel function and reduce the risk of constipation.

However, if your symptoms persist, worsen, or if you notice any changes in the size or appearance of the lump, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend treatments such as rubber band ligation, sclerotherapy, or, in more severe cases, surgical removal of the hemorrhoids.

In summary, while some lifestyle modifications may help alleviate your symptoms, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan. Early intervention can prevent complications and improve your quality of life.

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