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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation And Painful Lump On The Anus

I have a small lump on the inside of my anus. I ve been feeling constipated for the last month or two, and my poop usually comes out stringy. I ve never seen bleeding, but my stomach seems to make a lot more noise and I feel like digestion is harder. The lump is small and the same color as my anal opening.. And has been there for a few months. I noticed while having anal sex - as it hurt more than usual.
Wed, 26 Aug 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

First, if you have noticed small lump during bowel evacuation and if one doctor has examined per anum then yes it might be because of internal or external haemorrhoids.

It needs to be rechecked by proctoscopy test by a general surgeon if you have still any doubt.

The reason could be your hard stools passing for the past few days which actually causes excess straining during defecation which in turn lead to tearing of the anal skin or mucosa.

These piles or lumps causes burning sensations around the anus and anal canal and they might also cause the blood during stool passing.

You should go for routine blood with electrolytes, stool examination (you have already done before) with proctosopy by an experienced surgeon to have a correct diagnosis and the positions of piles.

You may require,

1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with
2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with
3) Hot seitz bath,
4) Laxatives or purgatives to have a soft and effortless stool evacuation.
5) Vitamin b complex with folic acid to have a rapid healing of ulcer.

You must consult general surgeon for complete history, thoroughly examination and treatment for suspected piles.

Thanks and Regards,

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Suggest Treatment For Constipation And Painful Lump On The Anus

Hi, Welcome to health care magic, First, if you have noticed small lump during bowel evacuation and if one doctor has examined per anum then yes it might be because of internal or external haemorrhoids. It needs to be rechecked by proctoscopy test by a general surgeon if you have still any doubt. The reason could be your hard stools passing for the past few days which actually causes excess straining during defecation which in turn lead to tearing of the anal skin or mucosa. These piles or lumps causes burning sensations around the anus and anal canal and they might also cause the blood during stool passing. You should go for routine blood with electrolytes, stool examination (you have already done before) with proctosopy by an experienced surgeon to have a correct diagnosis and the positions of piles. You may require, 1) Antibiotics (quinolones like ofloxacin or norfloxacin with antiprotozoals like metronidazole or ornidazole) with 2) Topical application of steroids with lignociane creams or ointments to reduce pain and inflammation with 3) Hot seitz bath, 4) Laxatives or purgatives to have a soft and effortless stool evacuation. 5) Vitamin b complex with folic acid to have a rapid healing of ulcer. You must consult general surgeon for complete history, thoroughly examination and treatment for suspected piles. Thanks and Regards,