Doctor insights on:
Thrombosed Prolapsed Hemorrhoids
Pain: External hemorrhoids are painful. These are hemorrhoids near nerves and you'll know you have them from pain and irritation. Painless hemorrhoids are usually internal but may prolapse and you notice them when cleaning. Either one can affect your life. If so see your doctor for a referral to a colo-rectal surgeon. Improve your quality of life. ...Read more
Easy BM diet: Fissure is a tear in the lining of your anal canal. You need to minimize mechanical stress/ trauma of defecation to heal. Any food known to give you constipation or loose bm should be avoided. Many find adjusting the amt of fiber supplement helpful in achieving the bm consistency that don't hurt as much. Sitz bath and otc meds can promote healing too. If nothing helps, see your doc. ...Read moreSee 2 more doctor answers
Part of Treatment: Anal fissures are usually related to passing hard constipated stool or other trauma to the anal canal. Keeping your stools soft with fiber (metamucil) is only part of the treatment. Drink plenty of water as well. May need medicated creams to help as well, see your doctor to know what you need to do. ...Read more
Rectal prolapse: Is where the entire rectum protrudes through the anus, hemmoroids will just be individual bulges of dilated blood vessels. If there are multiple hemmorhoids the difference can be hard to feel and has to be seen by experienced eyes. ...Read more
Maybe: External hemorrhoids usually hurt and occassionally bleed, internal hemorrhoids usually bleed without pain unless they prolapse to the outside. Prolapsed internal hemorrhoids are not external hemorrhoids and are treated differently than true external hemorrhoids. Bleeding and pain is often a fissure. Get a colon and rectal surgeon to evaluate it properly. ...Read moreSee 1 more doctor answer
Torn and scarred: An anal fissure occurs with torn anal/rectal tissue usually with passing large caliber and hard stool. The tear scars as it heals. The scar is less able to stretch and can tear again. Add a bowel regiment: laxatives, fiber, stool softener, more liquids, probiotics to achieve two soft bowel movements daily. Softer, smaller caliber stools will help your fissure heal. Surgery if persistent. ...Read moreSee 2 more doctor answers
Could be: Any lump out side anal canal , it could be thrombosed hemorrhoid, if it is at tail bone side it could be sentinel hemorrhoid due to an anal fissure, or a papilloma . These are all benign conditions if you feel it is hard, could be squamous cell carcinoma, see your doctor needs urgent attention. ...Read moreSee 1 more doctor answer
Vaginal vs. Anal: A rectocele is bulging of the rectum towards the vagina (thus creating a "bulge" in the vagina, and possibly difficulties having a bowel movement). It is due to a weakening of the connective tissue between the rectum and vagina. Rectal prolapse is a condition in which the rectum loses its normal attachments inside the body, allowing it to telescope out through the anus, thereby turning it “inside out”. ...Read moreSee 2 more doctor answers
Ok to use Anusol: But just as important is to be sure to be eating a high fiber diet and most importantly drinking 80-100oz of caffeine free, alcohol free fluid daily, more if you workout strenuously. There are other meds that work better but if no repsonse to above after2 months you may need surgery to avoid complications such as an abscess. See a colorectal surgeon. ...Read more
Address the causes:
Hemorrhoids are caused by imbalances in diet and lifestyle, such as nutrient deficiencies and constipation, so unlikely to go away if the causes are not addressed. Eat a diet rich in organic vegetables, fruits, beans and whole grains. Avoid GMO foods. Supplement with bioflavonoids- I recommend Vein Factors by FutureBiotics, which has helped many of my patients. See https://tinyurl.com/y9gco88e
I have grade 4 external and internal prolapsed hemorrhoids for 5 years. Nothing works. What else can I try to alleviate the discomfort?
HEMORRHOIDS: 1. Sitting in a few inches of warm water three times a day for 15 to 20 minutes may help decrease the inflammation of the hemorrhoids. 2. Increased fluid intake and dietary fiber (roughage) will decrease the potential for constipation and lessen the pressure on the rectum and anus during a bowel movement, minimizing further swelling, discomfort, and bleeding. Dietary fiber supplements may also hel ...Read more
Have had a grade 2 & grade 3 internal prolapsed hemorrhoids for 17 years. Would banding be sufficient or opting for full surgical removal?
Surgery: If the hermorrhoids are symptomatic (bleeding, itching, pain, etc.) surgical treatment is recommended. ...Read more
Can mild internal (non-prolapsed) hemorrhoids heal on their own using conservative methods such as water and fiber? Or does that just ease symptoms?
Yes to both.: Hemorrhoids are a part of normal anorectal anatomy. When they swell, protrude, itch and burn, conservative care is most frequently curative. Sitz baths with Epsom salts 3-6X daily for 15 min each over a 1-2 week period is most helpful. Prevention by avoiding straining at stools with fiber and increased oral water intake is helpful. ...Read more
I have prolapsed hemorrhoids that I push in when I finish stool, A red Jelly like substance came out from my stool bigger than walnut?
you are having some bleeding. See your PCP who may recommend an appointment with a General Surgeon who treats this condition. Prolapsed hemorrhoids unfortunately may require surgical treatment although newer less invasive treatments have been available in recent years,
Hope this is helpful
Dr Z ...Read more
Usually bleeding : Bursting of hemorrhoids is equal to tearing open blood vessels. It may be able to stop on its own or surgery might be needed. If it stops, nothing else is needed. High fiber diet is the key to avoid more complications. Rarely, u can have infection and this may need antibiotics or surgery or both. If there is persistent pain, bleeding, fever/chills etc, u need to call ur doctor. ...Read more
Yes see doctor: A prolapsed hemorrhoid is not an emergency usually. But it can be treated and will only get worse. You are young but most likely sit on the toilet too long or have a sedentary life style. Until treated you should not let it stay prolapsed so reduce it. Use sitz baths to keep clean after every bowel movement. Call your doctor. Hope this helps. ...Read more
No necessarily: Prolapsed or external hemorrhoids are not an emergency - although thrombosed hemorrhoids may be extremely painful and might require incision and drainage. You should have these evaluated to make sure that they are indeed hemorrhoids. A variety of otc and prescription treatments are available. ...Read moreSee 1 more doctor answer
Different conditions: Rectal prolapse involves the abnormal movement of the lining of the rectum to outside the anus. Hemorrhoid are dilated veins in the anus and rectum. Either condition may result in discomfort near the rectum or rectal bleeing. Rectal prolapse may require surgical treatment, hemmorrhoids can be treated with creams, placement of bands or surgery if severe. ...Read moreSee 1 more doctor answer
Thrombosis: A hemorrhoid is a enlarged vein at the anus or in the lower rectum. Internal hemorrhoids are deep to the anus. External hemorrhoids are outside of the anus. A hemorrhoid is a bump that can cause pain, bleeding and may be itchy. A thrombosed hemorrhoid contains a clot which causes redness ; ^ pain. ...Read more
How can I tell the difference between a hemorrhoid and a mucosal (partial) prolapse through self examination?
Why is there so much written in medical info saying internal hemorrhoids (not prolapse) do not cause pain when they most certainly do!
Blaming Medicine: First, none of us here wrote that literature. Second, I do not know one physician who would tell you that hemorrhoids do not hurt. Third, we are not here to be yelled at. It works best for one to come with symptoms and ask for advice or solutions. Please use this board with respect. We are here volunteering our time to be of service. ...Read more
I have a prolapsed hemorrhoid for the past week. It flared up before. The area is about 5-7cm long and incredibly painful. I have used witch hazel.
See proctologist: Sounds like it's time to have it surgically removed ...Read more
I've had a intermittent internal hemorrhoid for 2 year now, but it now keeps prolapsing soon after it's pushed back into place. Any home treatments?
Sits bath and reduce: Constipation that causes this to begin with. Hard stools don't help prevent hemmohoids. You may need to go to a proctologist if it's too large to reduce, because its basically like a vericose vein by the time it gets over dilated. The high intrathoracic pressure to create the Vasalva maneuver to have BMs may have been going on too long. See your PCP for evaluation, and referral.Drink more liquids! ...Read more
PLEASE HELP ME.... I have what I think is a prolapsed hemorrhoid...its burning and I cannot sleep :( what can I do?
A gastroenteroligist: is the type of doc you need to see. Start w/your family doc and he/she can diagnose, treat, or refer. Peace and good health. ...Read more
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