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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Lump In The Anus And Constipation?

I have a lump barely inside my anus. 24 hours ago it wasn t there. It s not painful at all. I feel like I need to have a bowel movement but I can t. I sit on toilet, air comes out but no stool. And on outside of anus the coloration is dark. Again, no pain at all. Thanks.,
Tue, 23 Jul 2019
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General Surgeon 's  Response
Hi,

It looks to me like hemorrhoid which is located in the anal canal and may protrude outside. Hemorrhoids are protrusions of veins in the rectal wall and there are several stages of hemorrhodal disease and the right treatment depends on type and stage of the disease.

Initially, it can be treated with dietary changes by having a high fiber diet with a lot of fluids and make your stool soft. There are few procedures which can be used but surgery should be avoided unless there is no improvement on conservative measures.

In the early phase, this is initially treated with dietary changes by having a high fibre diet with a lot of fluids and make your stool soft. Also take fruit, vegetables, avoid chocolate, refined meat, overeating and food that causes There are supplements such as Psyllium and Detralex which may help as well. Also, you should use sitz baths and have hemorrhoidal cream such as Proctol ointment.
Also, you should use sitz baths by sitting in warm water for 20minutes daily.
Second, it can be treated with rubber ligation or Sclerosation and in severe stages and this can be done in ambulatory settings. On the other hand, open the surgery is recommended only in resistant cases but for this, you should consult proctologist about these options.
Other causes include abscess and anal polyps but for this differentiation, you should do a proctological examination. Till that, try to follow my recommendations and see if this will be helpful.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Painful Lump In The Anus And Constipation?

Hi, It looks to me like hemorrhoid which is located in the anal canal and may protrude outside. Hemorrhoids are protrusions of veins in the rectal wall and there are several stages of hemorrhodal disease and the right treatment depends on type and stage of the disease. Initially, it can be treated with dietary changes by having a high fiber diet with a lot of fluids and make your stool soft. There are few procedures which can be used but surgery should be avoided unless there is no improvement on conservative measures. In the early phase, this is initially treated with dietary changes by having a high fibre diet with a lot of fluids and make your stool soft. Also take fruit, vegetables, avoid chocolate, refined meat, overeating and food that causes There are supplements such as Psyllium and Detralex which may help as well. Also, you should use sitz baths and have hemorrhoidal cream such as Proctol ointment. Also, you should use sitz baths by sitting in warm water for 20minutes daily. Second, it can be treated with rubber ligation or Sclerosation and in severe stages and this can be done in ambulatory settings. On the other hand, open the surgery is recommended only in resistant cases but for this, you should consult proctologist about these options. Other causes include abscess and anal polyps but for this differentiation, you should do a proctological examination. Till that, try to follow my recommendations and see if this will be helpful. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon