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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Do About Pain In Piles When Sitting On A Hard Chair And A Ball-lump Like Sensation Near The Anus After Bowel Movements?

if i sit down hard chair then i face pain in piles,, and when i go barth room,, after finish the stool,, when i cleane,, then i feel there have one extra meat,, this is look like ball
posted on Tue, 26 Mar 2024
Twitter Thu, 24 Apr 2025 Answered on
Twitter Thu, 1 May 2025 Last reviewed on
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General & Family Physician,  's  Response
Hello,

Your symptoms are indicative that you are experiencing symptomatic piles (hemorrhoids), possibly with a prolapsed or thrombosed external pile. Swollen veins around the anus or lower rectum are commonly external or prolapsed internal hemorrhoids. The sensation you are experiencing is because of a protruding vein (which may go back in or stay out).

If it's painful, it could be thrombosed (clotted blood inside). Use a soft cushion or donut pillow to sit. Hemorrhoid creams with Lidocaine and Hydrocortisone can help give relief. Warm sitz bath are helpful. Eat high-fiber foods (fruits, vegetables, oats, isabgol / husk). Drink 2–3 liters of water per day. Avoid oily, spicy food. Avoid straining during stool; consider a mild stool softener if needed.

Get clinically examined by a surgeon or a GP if you experience severe pain and swelling (thrombosed hemorrhoid), or if it bleeds continuously. Even if you have fever or signs of infection, get clinically evaluated; you may be recommended surgery.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Should I Do About Pain In Piles When Sitting On A Hard Chair And A Ball-lump Like Sensation Near The Anus After Bowel Movements?

Hello, Your symptoms are indicative that you are experiencing symptomatic piles (hemorrhoids), possibly with a prolapsed or thrombosed external pile. Swollen veins around the anus or lower rectum are commonly external or prolapsed internal hemorrhoids. The sensation you are experiencing is because of a protruding vein (which may go back in or stay out). If it s painful, it could be thrombosed (clotted blood inside). Use a soft cushion or donut pillow to sit. Hemorrhoid creams with Lidocaine and Hydrocortisone can help give relief. Warm sitz bath are helpful. Eat high-fiber foods (fruits, vegetables, oats, isabgol / husk). Drink 2–3 liters of water per day. Avoid oily, spicy food. Avoid straining during stool; consider a mild stool softener if needed. Get clinically examined by a surgeon or a GP if you experience severe pain and swelling (thrombosed hemorrhoid), or if it bleeds continuously. Even if you have fever or signs of infection, get clinically evaluated; you may be recommended surgery. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician