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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Have Had Constipation, Soreness In Anus. Taking Metamucil. On High Fiber Diet.Could Be Thrombosis Hemorrhoid?

I am 36 and pregnant. I have always had constipation issues. I drink 76 oz of water, high fiber diet, andhave metamucil after every meal. I still only have bm every 3 days. My last bm was yesterday after a 4 day lapse. It was hard. Next day, my anus is sore to touch. I checked it out with a flashlight. It does not look like an external hemorrhoid. It's not squishy looking. It is a small, hard purple bump that hurts really bad. I saw pictures of thrombosis hemorrhoid and it doesn't look like that. Help!
posted on Mon, 16 Sep 2013
Twitter Mon, 16 Sep 2013 Answered on
Twitter Mon, 16 Sep 2013 Last reviewed on
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OBGYN,  's  Response
Hi,
Thanks for writing in.
Hemorrhoids are not usually painful & they usually present with bleeding per rectum.
More likely diagnosis in your case is a "fissure in ano".
This is good to know that you keep yourself well hydrated, take high fiber diet & dietary fiber supplements on regular basis.
You should also take some stool softener & local anesthetic to aid healing of this lesion.
Please visit a General surgeon for confirmation of diagnosis & to get a prescription.
Take care.

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Pregnant. Have Had Constipation, Soreness In Anus. Taking Metamucil. On High Fiber Diet.Could Be Thrombosis Hemorrhoid?

Hi, Thanks for writing in. Hemorrhoids are not usually painful & they usually present with bleeding per rectum. More likely diagnosis in your case is a fissure in ano . This is good to know that you keep yourself well hydrated, take high fiber diet & dietary fiber supplements on regular basis. You should also take some stool softener & local anesthetic to aid healing of this lesion. Please visit a General surgeon for confirmation of diagnosis & to get a prescription. Take care.